Organization
NORTHWEST ORTHOPEDIC SURGERY, S.C.
Active
Other names
Northwest Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A MANNION MD (PRESIDENT)
(847) 870-4200
Entity
Organization
Contact information
Practice address
1120 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-4767
(847) 870-4200
(847) 870-0059
Mailing address
1120 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-4767
(847) 870-4200
(847) 870-0059
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
423132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634499
BCBS
IL
Enumeration date
10/17/2006
Last updated
01/31/2012
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