Organization
NORTHWEST ORTHOPEDIC SURGERY, S.C.
Active
Other names
Northwest Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A MANNION M.D. (PRESIDENT)
(847) 870-4200
Entity
Organization
Contact information
Practice address
3030 W SALT CREEK LN, SUITE 100, ARLINGTON HEIGHTS, IL 60005-5001
(847) 870-4200
(847) 870-0059
Mailing address
3030 W SALT CREEK LN, SUITE 100, ARLINGTON HEIGHTS, IL 60005-5001
(847) 870-4200
(847) 870-0059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
42-3132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634499
BCBS
IL
Enumeration date
04/17/2007
Last updated
06/11/2014
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