MEDICARE: DR. PAUL F DEFRINO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	036095475	IL

General Provider Information

NPI Number	:	1326046319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL F DEFRINO MD

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 W WEBSTER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-3049
Country	:	US
Telephone Number	:	773-356-7700
Fax Number	:	872-843-9070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	03/12/2026

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