Healthcare Provider Details

I. General information

NPI: 1841548690
Provider Name (Legal Business Name): NORTHWEST ORTHOPAEDIC PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2012
Last Update Date: 10/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7447 WEST TALCOTT AVENUE SUITE 500
CHICAGO IL
60631-3716
US

IV. Provider business mailing address

7447 WEST TALCOTT AVENUE SUITE 500
CHICAGO IL
60631-3716
US

V. Phone/Fax

Practice location:
  • Phone: 773-631-7898
  • Fax:
Mailing address:
  • Phone: 773-631-7898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN R. MCCALL
Title or Position: OFFICER
Credential: MD
Phone: 773-631-7898