MEDICARE: DR. HALUK ALTIOK M.D.

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	036-115377	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1568578441	OTHER	IL	NPI

General Provider Information

NPI Number	:	1568578441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HALUK ALTIOK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8500, LOCKBOX 7642
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-7642
Country	:	US
Telephone Number	:	813-281-8115
Fax Number	:	813-281-8656

Provider Business Practice Location Address
First Line	:	2211 N. OAK PARK AVENUE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60707-3392
Country	:	US
Telephone Number	:	773-385-5497
Fax Number	:	773-385-5488

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	11/27/2023

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