| NPI | 1003171596 |
|---|---|
| Doing Business As | MIDAMERICA HAND TO SHOULDER CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANTON J FAKHOURI President 708-237-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: IL 036-096721) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036-076397) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2022-06-27 |