Healthcare Provider Details
I. General information
NPI: 1942495767
Provider Name (Legal Business Name): LAMBERTI ORTHOPEDIC & HAND SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2007
Last Update Date: 08/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2425 W 22ND ST SUITE 212
OAK BROOK IL
60523-1245
US
IV. Provider business mailing address
2425 W 22ND ST SUITE 212
OAK BROOK IL
60523-1245
US
V. Phone/Fax
- Phone: 630-573-0799
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 036102138 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | 036102138 |
| License Number State | IL |
VIII. Authorized Official
Name:
PAUL
M
LAMBERTI
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 630-573-0799