Organization
M&M ORTHOPAEDICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J. MASH MD (CEO)
(630) 968-1881
Entity
Organization
Contact information
Practice address
4115 FAIRVIEW AVE, DOWNERS GROVE, IL 60515-2268
(630) 968-1881
(630) 968-3762
Mailing address
4300 COMMERCE CT, SUITE 230, LISLE, IL 60532-3698
(630) 968-1881
(630) 245-9098
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6N0982
RAILROAD MEDICARE
IL
01
—
CN0982
RAILROAD MEDICARE
IL
Enumeration date
10/05/2005
Last updated
03/04/2008
Update your record
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