Organization
OAD ORTHOPAEDICS, LTD
Active
Other names
Orthopaedic Associates of DuPage, Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE KRAUKLIS (CREDENTIALING COORDINATOR)
(630) 225-2663
Entity
Organization
Contact information
Practice address
27650 FERRY RD, SUITE 100, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399
Mailing address
27650 FERRY RD, SUITE 100, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02201368
BCBS PROVIDER #
IL
01
—
204398
MEDICARE GROUP #
IL
01
—
206224
MEDICARE GROUP #
IL
01
—
206229
MEDICARE GRP #
IL
Enumeration date
05/04/2006
Last updated
10/17/2012
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