Genesis Orthopedics & Sports Medicine LLC

NPI #1467954016 in Oak Brook, Illinois

Provider Information

NPI Number
1467954016
Entity Type
Organization
Organization Name
Genesis Orthopedics & Sports Medicine LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GENESIS ORTHOPEDICS & SPORTS MEDICINE LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 28, 2018
Last Updated
Nov 17, 2023

Practice Location

Address
2425 W 22ND ST STE 212
ZIP Code
60523-4658
Phone
(630) 377-1188

Authorized Official

Name
HYTHEM P SHADID
Title
PRESIDENT
Phone
(630) 377-1188

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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