Organization
PARK RIDGE ORTHOPEDIC SURGEONS,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN M DACZKEWYCZ B.S. (MANAGER)
(774) 774-3501
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 515, CHICAGO, IL 60631-3745
(773) 774-3501
(773) 774-3511
Mailing address
7447 W. TALCOTT RD., SUITE 515, CHICAGO, IL 60631-3745
(773) 774-3501
(773) 774-3511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
02/28/2007
Last updated
03/12/2008
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