Provider Demographics
NPI:1093145195
Name:CHICAGO HAND AND ORTHOPEDIC SURGERY CENTERS SC
Entity Type:Organization
Organization Name:CHICAGO HAND AND ORTHOPEDIC SURGERY CENTERS SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:PAPIERSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-303-5790
Mailing Address - Street 1:2000 E ALGONQUIN RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4189
Mailing Address - Country:US
Mailing Address - Phone:847-303-5790
Mailing Address - Fax:855-469-4263
Practice Address - Street 1:1 TRANSAM PLAZA DR
Practice Address - Street 2:SUITE 460
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4822
Practice Address - Country:US
Practice Address - Phone:630-317-7007
Practice Address - Fax:855-469-4263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042.620262207XS0106X
IL042.620259207XS0106X
IL042-620260207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF100122953OtherMEDICARE PTAN