North Chicago Orthopaedic Clinic

NPI #1043415284 in Chicago, Illinois

Provider Information

NPI Number: 1043415284
Entity Type: Organization
Organization Name: North Chicago Orthopaedic Clinic
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jun 18, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 2222 W DIVISION ST
Address 2: SUITE 235
City: Chicago
State: Illinois
ZIP Code: 60622-2717
Phone: (773) 486-7200

Authorized Official

Name: HOUSHANG FARAHVAR, MD
Title: PRESIDENT
Phone: (773) 486-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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