| NPI | 1205374717 |
|---|---|
| Doing Business As | SPORTSMED-WHEATON ORTHOPAEDICS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN A BAKER Secretary 630-665-9155 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 042001705) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |