Organization
ORTHOPEDIC & SPINE SURGERY ASSOC
Active
Other names
Midwest Bone & Joint Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA ROUSE (ADMINISTRATOR)
(847) 931-5300
Entity
Organization
Contact information
Practice address
308 RANDALL RD, SUITE A, GENEVA, IL 60134-4201
(630) 262-5391
(630) 262-5398
Mailing address
2350 ROYAL BLVD, 200, ELGIN, IL 60123-4719
(847) 931-5300
(847) 931-9072
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208821
MEDICARE
IL
Enumeration date
02/07/2007
Last updated
04/17/2015
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