Organization
MIDWEST ORTHOPEDIC CONSULTANTS SC
Active
Other names
Midwest Orthopaedic Consultants SC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE RAFTERY (DIRECTOR OF OPERATIONS)
(708) 226-3300
Entity
Organization
Contact information
Practice address
10719 WEST 160TH STREET, ORLAND PARK, IL 60467-5541
(708) 226-3300
(708) 226-4204
Mailing address
10719 160TH ST, ORLAND PARK, IL 60467-5541
(708) 226-3300
(708) 226-3020
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619967
BLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
IL
01
—
363420
MEDICARE GROUP PROVIDER NUMBER
IL
01
—
CL4152
RAILROAD MEDICARE GROUP PROVIDER NUMBER
IL
Enumeration date
07/24/2006
Last updated
10/24/2024
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