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MIDWEST BONE & JOINT SURGERY PC NPI 1073700449


NPI Information

NPI: 1073700449
Provider Name: MIDWEST BONE & JOINT SURGERY PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
30 APEX DRIVE
SUITE #1
HIGHLAND, IL
ZIP 62249
Phone: (618) 654-5400
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MIDWEST BONE & JOINT SURGERY PC is an orthopaedic surgery in Highland, IL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MIDWEST BONE & JOINT SURGERY PC NPI is 1073700449. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 APEX DRIVE
SUITE #1
HIGHLAND, IL
ZIP 62249-285
Phone: (618) 654-5400
Fax: (618) 654-8700

The provider's authorized official is Felix F Ungacta .
The authorized official title is Orthopedic Surgeon and has the following contact phone number (618) 541-1406.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 4/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16036600001MEDICARE NSCILLINOIS
2215632OTHERILLINOISMEDICARE GROUP PROVIDER #
3K45126OTHERILLINOISMEDICARE INDIVIDUAL PVDR#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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