ORTHOPEDIC SPECIALISTS SC (NPI# 1427123926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427123926 |
Entity Type | Organization |
Organization Name | ORTHOPEDIC SPECIALISTS SC |
Practice Address |
675 W North Ave Suite314 Melrose Park IL 60160-1634 |
Mailing Address |
360 W Butterfield Road Suite160 Elmhurst IL 60126 |
Practice Telephone | 6307829600 |
Practice Fax Number | 6307821643 |
Mailing Telephone | 6307829600 |
Mailing Fax Number | 6307821643 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2010-02-10 |
Authorized Official Name | MS. KELLY PANCAMO (BILLING SUPERVISOR) |
Authorized Official Telephone | 6303334447 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005007 | IL | Podiatric Medicine & Surgery Service Providers |
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS | 02222323 | 01 |
Street Address |
675 W NORTH AVE SUITE314 |
City | MELROSE PARK |
State | IL |
Zip Code | 60160-1634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235134727 | Brad Anstadt | Ophthalmology | 675 W North Ave, Ste 107, Melrose Park, IL 60160-1622 | 2005-06-20 |
1578920484 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 675 W North Ave, Melrose Park, IL 60160-1634 | 2016-01-22 |
1356733034 | Jessica Lynn Dye | Physician Assistant | 675 W North Ave, Suite 607, Melrose Park, IL 60160-1634 | 2015-03-04 |
1861893463 | Paige D Formsma | Audiologist | 675 W North Ave, Suite 110, Melrose Park, IL 60160-1634 | 2014-09-15 |
1083014047 | Jennifer Morales | Psychologist | 675 W North Ave, Ste 306, Melrose Park, IL 60160-1634 | 2014-08-27 |
1538577754 | Elizabeth Bojarskyj | Pharmacist | 675 W North Ave, Melrose Park, IL 60160-1634 | 2014-07-31 |
1780091538 | Bryan David Erce | Dentist | 675 W North Ave, Suite 307, Melrose Park, IL 60160-1634 | 2014-07-14 |
1740619246 | Merissa Mann | Physician Assistant | 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 | 2013-11-05 |
1770916074 | Yonatan Rosenblum | Psychologist | 675 W North Ave, Suite 306, Melrose Park, IL 60160-1634 | 2013-08-10 |
1538509666 | Hai Solomon M.d.s.c. | Obstetrics & Gynecology | 675 W North Ave, Suite 512, Melrose Park, IL 60160-1634 | 2013-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
Find all providers in zip 60160 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124379045 | Henry M Holmes | Orthopaedic Surgery | 1700 Riverwoods Dr, #519, Melrose Park, IL 60160-1613 | 2012-10-02 |
1952573149 | Broadway Orthopedics Ltd | Orthopaedic Surgery | 1111 Superior St, Suite 305, Melrose Park, IL 60160-4138 | 2008-03-27 |
1306880919 | Alfred A Akkeron | Orthopaedic Surgery | 1111 Superior, Suite 305, Melrose Park, IL 60160-2041 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
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City | MELROSE PARK |
Zip Code | 60160 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.