Organization
ORTHOPEDIC SPECIALISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYON HENNESSEY MD (PARTNER)
(630) 782-9600
Entity
Organization
Contact information
Practice address
360 W BUTTERFIELD RD, #160, ELMHURST, IL 60126-5068
(630) 782-9600
(630) 782-1643
Mailing address
360 W BUTTERFIELD RD, #160, ELMHURST, IL 60126-5068
(630) 782-9600
(630) 782-1643
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085005057
IL
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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