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Organization

ORTHOPEDIC & SPINE SURGERY ASSOC

Active
Other names
Midwest Bone & Joint Institute
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA ROUSE (ADMINISTRATOR)
(847) 931-5300
Entity
Organization

Contact information

Practice address
420 W NORTHWEST HWY, SUITE M, BARRINGTON, IL 60010-6837
(847) 382-6766
(847) 382-6782
Mailing address
2350 ROYAL BLVD, SUITE 200, ELGIN, IL 60123-4719
(847) 931-5300
(847) 931-5321

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208821
MEDICARE
IL
Enumeration date
12/27/2006
Last updated
04/17/2015
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