Organization
ORTHOPAEDIC SURGERY SPECIALISTS LTD
Active
Other names
Physical Therapy Institute of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HO MIN LIM MD (PRESIDENT)
(847) 824-3198
Entity
Organization
Contact information
Practice address
1009 IL ROUTE 22, SUITE 2, FOX RIVER GROVE, IL 60021-1998
(847) 842-9366
(847) 842-9467
Mailing address
1550 N NORTHWEST HWY, SUITE 220, PARK RIDGE, IL 60068-1411
(847) 298-7024
(847) 298-7155
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1224510002
MEDICARE DME SUPPLIER
IL
Enumeration date
05/18/2008
Last updated
09/30/2012
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