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General NPI Number Information
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NPI Number | 1184769911
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC ASSOCIATES, SC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 415 W GOLF RD SUITE 68
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3929
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Country | US
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Telephone | 847-593-5511
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Fax | 847-593-0872
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Provider Business Mailing Address
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Address Line | 415 W GOLF RD SUITE 68
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3929
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Country | US
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Telephone | 847-593-5511
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Fax | 847-593-0872
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | THOMAS Y KIM
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Credential | M.D.
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Telephone | 847-593-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 042-000037
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License Number State | IL
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