Provider Demographics
NPI:1568508083
Name:HAND SURGERY ASSOCIATES SC
Entity Type:Organization
Organization Name:HAND SURGERY 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:I
Authorized Official - Last Name:VENDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-956-0099
Mailing Address - Street 1:515 W ALGONQUIN RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4439
Mailing Address - Country:US
Mailing Address - Phone:847-956-0099
Mailing Address - Fax:847-956-0433
Practice Address - Street 1:515 W ALGONQUIN RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4439
Practice Address - Country:US
Practice Address - Phone:847-956-0099
Practice Address - Fax:847-956-0433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL991440Medicare PIN