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General NPI Number Information
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NPI Number | 1144394727
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Entity Type | Organization
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Legal Business Name | HINSDALE ORTHOPAEDIC ASSOCIATES, S.C.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 951 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-8431
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Country | US
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Telephone | 815-744-4551
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Fax | 815-744-4756
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Provider Business Mailing Address
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Address Line | 550 W OGDEN AVE
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City | HINSDALE
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State | IL
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Zip | 60521-3186
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Country | US
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Telephone | 630-323-6116
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Fax | 630-323-6169
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH L SCHIFFMAN
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Credential | M.D.
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Telephone | 630-323-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 42000346
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License Number State | IL
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