NPI 1124148739

Medical Alliance for Corrective and Reconstructive Orthopedic Surgery

Organisation Specialist Oak Lawn, IL

Practice location

Address: 5540 W 111th St, Oak Lawn, IL 60453-5574
Phone: (708) 423-8440
Fax: (708) 658-2958

Authorised official

Name: John B McClellan
Title: President
Phone: (708) 423-8440

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 036055747 (IL)

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Registry record

NPI: 1124148739
Entity type: Organization
NPI issued: 29 Mar 2007
Record last updated: 5 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.