Organization
NORTHWEST ORTHOPEDIC SURGERY SC
Active
Parent organization
NORTHWEST ORTHOPEDIC SURGERY SC
Other names
Northwest Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST ORTHOPEDIC SURGERY SC
Authorized official
DR. RICHARD A MANNION M.D. (PRESIDENT)
(847) 870-4200
Entity
Organization
Contact information
Practice address
1430 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-4830
(847) 818-3570
(847) 870-0059
Mailing address
1120 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-4767
(847) 870-4200
(847) 870-0059
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42-3132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634499
BCBS
IL
Enumeration date
05/07/2007
Last updated
10/15/2007
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