Organization
THE CENTER FOR SPORTS ORTHOPAEDICS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE SUCHY DO (PRESIDENT)
(847) 884-7771
Entity
Organization
Contact information
Practice address
1585 BARRINGTON RD, 101, HOFFMAN ESTATES, IL 60169-1090
(847) 884-7771
(847) 884-0666
Mailing address
1585 BARRINGTON RD, 101, HOFFMAN ESTATES, IL 60169-5019
(847) 884-7771
(847) 884-0666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42006967
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618989
BCBS OF ILLINOIS
IL
01
—
CL6988
MEDICARE RR
IL
Enumeration date
12/14/2006
Last updated
04/07/2017
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