MEDICARE: MELVIN P KATZ 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		IL

General Provider Information

NPI Number	:	1780657825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELVIN P KATZ MD

Provider Business Mailing Address
First Line	:	241 GOLF MILL CTR
Second Line	:	#516
City	:	NILES
State	:	IL
Zip	:	60714-1224
Country	:	US
Telephone Number	:	847-297-4012
Fax Number	:	847-297-6624

Provider Business Practice Location Address
First Line	:	241 GOLF MILL CTR
Second Line	:	#516
City	:	NILES
State	:	IL
Zip	:	60714-1224
Country	:	US
Telephone Number	:	847-297-4012
Fax Number	:	847-297-6624

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	07/09/2007

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