Provider Demographics
NPI:1376966853
Name:MIDWEST HAND SURGERY SC
Entity Type:Organization
Organization Name:MIDWEST HAND SURGERY SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARAKAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-379-5057
Mailing Address - Street 1:1200 S YORK ST
Mailing Address - Street 2:3200
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5626
Mailing Address - Country:US
Mailing Address - Phone:630-359-6888
Mailing Address - Fax:630-359-6889
Practice Address - Street 1:7460 W COLLEGE DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1164
Practice Address - Country:US
Practice Address - Phone:708-827-2888
Practice Address - Fax:708-827-2889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036097986174400000X
IL036120477174400000X
IL036087251174400000X
IL036120651174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG72820Medicare UPIN
ILG51544Medicare UPIN