Organization
KEYSTONE ORTHOPEDICS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P HERTEL (OPERATIONS MANAGER)
(708) 799-1144
Entity
Organization
Contact information
Practice address
801 MACARTHUR BLVD, SUITE 304, MUNSTER, IN 46321-2915
(219) 836-4123
(219) 836-0276
Mailing address
3330 W 177TH ST, SUITE 2C, HAZEL CREST, IL 60429-2184
(708) 799-1144
(708) 799-4899
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01036580A
IN
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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