Organization
SPECIALTY ORTHOPAEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL PARK MD (PHYSICIAN/PRESIDENT)
(630) 743-1337
Entity
Organization
Contact information
Practice address
911 N ELM ST STE 327, HINSDALE, IL 60521-3642
(630) 387-6589
(630) 387-9789
Mailing address
911 N ELM ST STE 327, HINSDALE, IL 60521-3642
(630) 387-6589
(630) 387-9789
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036118586
—
Other
Enumeration date
01/29/2018
Last updated
10/12/2022
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