Organization
ADULT & PEDIATRIC ORTHOPEDICS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOANNE DEGENNARO (BUSINESS OFFICE ADMINISTRATOR)
(847) 634-0400
Entity
Organization
Contact information
Practice address
50 S MILWAUKEE AVE, STE 201, LAKE VILLA, IL 60046-9471
(224) 372-7880
(224) 372-7870
Mailing address
50 S MILWAUKEE AVE STE 201, LAKE VILLA, IL 60046-5426
(224) 372-7880
(224) 372-7870
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042005991
IL
Other
Enumeration date
04/06/2007
Last updated
11/05/2014
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