Organization
COMMUNITY ORTHOPAEDICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN GROYA MD (PRESIDENT)
(708) 482-8686
Entity
Organization
Contact information
Practice address
348 SHERWOOD CT, LA GRANGE PARK, IL 60526-1967
(708) 482-8686
(708) 482-8694
Mailing address
348 SHERWOOD CT, LA GRANGE PARK, IL 60526-1967
(708) 482-8686
(708) 482-8694
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001615504
BLUE CROSS BLUE SHIELD
IL
01
—
0004110934
AETNA INS
IL
Enumeration date
12/13/2006
Last updated
08/22/2020
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