NPI | 1346343936 |
---|---|
Former Legal Business Name | SOUTH CHICAGO ORTHOPEDICS |
Entity Type | Organization |
Authorized Contact | BRENT J RHODE Practice Manager 708-337-7704 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036105379) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2023-03-07 |