Organization
MIDAMERICA ORTHOPAEDICS, S.C.
Active
Other names
MidAmerica Hand to Shoulder Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTON J FAKHOURI M.D. (PRESIDENT)
(708) 237-7200
Entity
Organization
Contact information
Practice address
1990 E ALGONQUIN RD, SUITE 200, SCHAUMBURG, IL 60173-4173
(847) 303-5790
(847) 303-5795
Mailing address
1990 E ALGONQUIN RD, SUITE 200, SCHAUMBURG, IL 60173-4173
(847) 303-5790
(847) 303-5795
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-076397
IL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036-076397
IL
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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