Illinois Sports Medicine & Orthopedic Surgery Center, LLC
NPI #1710037452 in Morton Grove, Illinois
Provider Information
- NPI Number
- 1710037452
- Entity Type
- Organization
- Organization Name
- Illinois Sports Medicine & Orthopedic Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 9000 WAUKEGAN RD
- Address 2
- SUITE 120
- City
- Morton Grove
- State
- Illinois
- ZIP Code
- 60053-2127
- Phone
- (847) 213-5444
Authorized Official
- Name
- MR. LARRY J PARRISH
- Title
- ADMINISTRATOR
- Phone
- (847) 213-5455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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