Organization
MIDWEST SPORTS MEDICINE & ORTHOPAEDIC SURGICAL SPECIALISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA PEDRAZA (ADMINISTRATOR)
(847) 437-9889
Entity
Organization
Contact information
Practice address
901 W BIESTERFIELD ROAD, SUITE 300, ELK GROVE VILLAGE, IL 60007-7324
(847) 437-9889
Mailing address
901 W BIESTERFIELD ROAD, SUITE300, ELK GROVE VILLAGE, IL 60007-7324
(847) 437-9889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
01/06/2023
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