Chicago South Orthopedics, INC

NPI #1023138633 in Oak Lawn, Illinois

Provider Information

NPI Number: 1023138633
Entity Type: Organization
Organization Name: Chicago South Orthopedics, INC
Primary Specialty: Specialist
Enumeration Date: Mar 29, 2007
Last Updated: May 21, 2020

Practice Location

Address: 5540 W 111TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-5574
Phone: (708) 423-8440

Authorized Official

Name: MR. MARK R NIKKEL, D.O.
Title: ORTHOPEDIC SURGEN
Phone: (708) 423-8440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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