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GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC NPI 1508810920


NPI Information

NPI: 1508810920
Provider Name: GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC

Doing Business As: ILLINOIS SW ORTHOPEDICS LTD

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
4802 S STATE ROUTE 159
GLEN CARBON, IL
ZIP 62034
Phone: (618) 288-4388
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GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC is an orthopaedic surgery in Glen Carbon, 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. GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC NPI is 1508810920. The provider is registered as an organization entity type.
The provider Is Doing Business As Illinois Sw Orthopedics Ltd.

The provider's business location address is:

4802 S STATE ROUTE 159
GLEN CARBON, IL
ZIP 62034-904
Phone: (618) 288-4388
Fax: (618) 288-4927

The provider's authorized official is Laura J Fey .
The authorized official title is Sr. Director Physician Rev Cycle and has the following contact phone number (615) 221-3641.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 7/7/2023.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2207X00000XOrthopaedic SurgeryYes

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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