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NPI Code Detail

MEDICARE: ELMHURST ORTHOPAEDICS, SC

MEDICARE: ELMHURST ORTHOPAEDICS, SC
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
1207X00000XOrthopaedic Surgery Physician042617282IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CN7327OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22207282OTHERILBCBS

General Provider Information

NPI Number : 1598716474
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELMHURST ORTHOPAEDICS, SC
Provider Business Mailing Address
First Line : 300 W BUTTERFIELD RD
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5017
Country : US
Telephone Number : 630-834-0491
Fax Number : 630-834-0735
Provider Business Practice Location Address
First Line : 300 W BUTTERFIELD RD
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5017
Country : US
Telephone Number : 630-834-0491
Fax Number : 630-834-0735
Authorized Official
Title or Position : PRESIDENT
Name : EUGENE J BARTUCCI
Credential : MD
Telephone Number : 630-834-0491
Provider Enumeration Date : 05/15/2006
Last Update Date : 02/29/2012

Similar Medicare Providers

1619814712 — JEANETTE GALVAN PTA
Practice Location Address:
300 W BUTTERFIELD RD
ELMHURST, IL
60126-5017
Practice Phone: 630-984-9880
Practice Fax:
1386613255 — MRS. MICHELLE RAE KNIZNER ATC
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Practice Fax: 630-834-1677
1003823212 — JOHN W NIKOLEIT MD
Practice Location Address:
300 W BUTTERFIELD RD
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60126-5017
Practice Phone: 630-834-0491
Practice Fax:
1932213469 — EUGENE J BARTUCCI MD
Practice Location Address:
300 WEST BUTTERFIELD RD
ELMHURST, IL
60126-5017
Practice Phone: 630-834-0491
Practice Fax: 630-834-0735
1972789246 — RAKESH NAMBIAR PT
Practice Location Address:
300 W BUTTERFIELD RD
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60126-5017
Practice Phone: 630-834-0491
Practice Fax:
1861741084 — STEPHANIE TATE DPT
Practice Location Address:
300 W BUTTERFIELD RD
ELMHURST, IL
60126-5017
Practice Phone: 630-834-0478
Practice Fax: 630-834-1677

Directions to “ELMHURST ORTHOPAEDICS, SC ” Practice Location

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