Provider Demographics
NPI:1558789792
Name:HINSDALE ORTHOPAEDIC ASSOCIATES, SC
Entity Type:Organization
Organization Name:HINSDALE ORTHOPAEDIC ASSOCIATES, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-323-6116
Mailing Address - Street 1:4700 GILBERT AVE
Mailing Address - Street 2:SUITE 52
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-1753
Mailing Address - Country:US
Mailing Address - Phone:708-387-1737
Mailing Address - Fax:708-387-1739
Practice Address - Street 1:4700 GILBERT AVE
Practice Address - Street 2:SUITE 52
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558-1753
Practice Address - Country:US
Practice Address - Phone:708-387-1737
Practice Address - Fax:708-387-1739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042.620352207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL700860OtherPTAN