Organization
PREMIER ORTHOPAEDIC AND HAND CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI JEFFERS (PRACTICE MANAGER)
(708) 957-0505
Entity
Organization
Contact information
Practice address
19801 GOVERNORS HIGHWAY, SUITE 160, FLOSSMOOR, IL 60422-7834
(708) 957-0505
(708) 957-0506
Mailing address
19801 GOVERNORS HWY, STE 160, FLOSSMOOR, IL 60422-7834
(708) 957-0505
(708) 957-0506
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042619353
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01601075
BLUE SHIELD ILLINOIS
IL
05
—
200979570A
—
IN
Enumeration date
03/05/2009
Last updated
11/04/2025
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