| NPI | 1013976927 |
|---|---|
| Former Legal Business Name | MIDWEST ORTHOPAEDIC INSTITUTE SC |
| Entity Type | Organization |
| Authorized Contact | ASHLEY ROSS Credentialing Coordinator 815-991-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| 207T00000X Neurological Surgery | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 225100000X Physical Therapist | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 060010536) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 060010536) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 060010536) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 060010536) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2018-08-29 |