Midland Orthopedic Associates S C

NPI 1104863638 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1104863638
Enumeration Date 06/01/2006
Last Updated 06/06/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GREGORY GREGORY
Position PRACTICE ADMINISTRATOR
Phone (312) 842-4600
Fax (312) 842-8694
Practice Location
2850 S WABASH AVE
SUITE 100
CHICAGO IL, 60616-2955, US
Phone (312) 842-4600
Fax (312) 842-8694
Business Location
2850 S WABASH AVE
SUITE 100
CHICAGO IL, 60616-2955, US
Phone (312) 842-4600
Fax (312) 842-8694
Toxanomy
Taxonomy Code 207X00000X
License State Illinois
License Number 042007805
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According to our database, Midland Orthopedic Associates S C NPI is 1104863638, taxonomy code is 207X00000X and license number is 042007805, license state is located at Illinois. Midland Orthopedic Associates S C physically located at 2850 S Wabash Ave, Chicago IL, 60616-2955. NPI Number 1033115704 has the healthcare provider type.

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1104863638 NPI number is provided on an as is basis without warranty of any kind. 1104863638 is maintained by the National Plan & Provider Enumeration System. The contents of Midland Orthopedic Associates S C are for informational purposes only.