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General NPI Number Information
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NPI Number | 1598716474
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Entity Type | Organization
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Legal Business Name | ELMHURST ORTHOPAEDICS, SC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 300 W BUTTERFIELD RD
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City | ELMHURST
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State | IL
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Zip | 60126-5017
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Country | US
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Telephone | 630-834-0491
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Fax | 630-834-0735
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Provider Business Mailing Address
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Address Line | 300 W BUTTERFIELD RD
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City | ELMHURST
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State | IL
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Zip | 60126-5017
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Country | US
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Telephone | 630-834-0491
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Fax | 630-834-0735
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Authorized Official
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Title or Position | PRESIDENT
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Name | EUGENE J BARTUCCI
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Credential | MD
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Telephone | 630-834-0491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 042617282
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License Number State | IL
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