Organization
ORTHOPEDIC & SPINE SURGERY ASSOC
Active
Other names
Midwest Bone & Joint Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GITELIS (PRESIDENT)
(847) 931-5300
Entity
Organization
Contact information
Practice address
2350 ROYAL BLVD, 200, ELGIN, IL 60123-4719
(847) 931-5300
(847) 931-5321
Mailing address
2350 ROYAL BLVD, 200, ELGIN, IL 60123-4719
(847) 931-5300
(847) 931-5321
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207906
MEDICARE
IL
01
—
208821
MEDICARE
IL
01
—
4515176
BLUE CROSS BLUE SHIELD
IL
01
—
CE6001
RAILROAD MEDICARE
—
01
—
CG2631
RR MEDICARE MCHENRY CTY
IL
Enumeration date
02/07/2007
Last updated
06/16/2016
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