Organization
ADVANCED ORTHOPEDIC & SPORTS INJURY CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A FETTER M.D. (PRESIDENT)
(847) 599-9500
Entity
Organization
Contact information
Practice address
2626 WASHINGTON ST, WAUKEGAN, IL 60085
(847) 599-9500
(847) 599-9485
Mailing address
2626 WASHINGTON ST, WAUKEGAN, IL 60085
(847) 599-9500
(847) 599-9485
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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