Organization
ORTHOPEDIC & SPINE SURGERY ASSOC
Active
Other names
Midwest Bone & Joint Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GITELIS (PRESIDENT)
(847) 931-5300
Entity
Organization
Contact information
Practice address
2350 ROYAL BLVD, SUITE 200, ELGIN, IL 60123-4718
(847) 931-5300
(847) 931-9072
Mailing address
2350 ROYAL BLVD, SUITE 200, ELGIN, IL 60123-4718
(847) 931-5300
(847) 931-9072
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208821
MEDICARE PTAN
IL
Enumeration date
12/27/2006
Last updated
06/20/2016
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