| NPI | 1962766865 |
|---|---|
| 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 | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036-076397) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-076397) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |