Suburban Orthopaedics
Chiropractor in Elk Grove Village, IL. Organization (NPI-2).
NPI number1194040808
StatusActive
Last updated in NPPESSep 8, 2023
Details
- NPI
- 1194040808
- Entity type
- Organization (NPI-2)
- Legal business name
- Suburban Orthopaedics
- Organization subpart
- No
- Enumeration date
- Apr 6, 2010
- Certification date
- Sep 8, 2023
- Last updated
- Sep 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038007742 | IL | Yes |
| 207X00000X | Orthopaedic Surgery | 036064932 | IL | |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 036097451 | IL | |
| 208100000X | Physical Medicine & Rehabilitation | 070012618 | IL | |
| 363A00000X | Physician Assistant | 085001660 | IL | |
| 363A00000X | Physician Assistant | 085002852 | IL |
Other names
- Suburban Orthopaedics Ltd (Doing Business As)
Practice location
800 Biesterfield RdSte 565
Elk Grove Village, IL 60007-3361
Phone 847-439-9488 · Fax 847-439-9498
Mailing address
1110 W Schick RdBartlett, IL 60103-3007
Phone 630-372-1100 · Fax 630-372-6230
Authorized official
Edward Ortiz
Practice & Compliance Administrator
6303721100
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All 11 Chiropractor providers in Elk Grove Village · All 1,236 providers in Elk Grove Village
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