Organization
ORTHOPEDIC & SPINE SURGERY ASSOC LTD
Active
Other names
Midwest Bone & Joint Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GITELIS MD (PRESIDENT)
(847) 931-5300
Entity
Organization
Contact information
Practice address
1710 N RANDALL RD, SUITE 140, ELGIN, IL 60123-9400
(224) 293-1170
Mailing address
2350 ROYAL BLVD, SUITE 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
—
208821
MEDICARE TIN
—
Enumeration date
04/29/2013
Last updated
04/29/2013
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