Provider Demographics
NPI:1689269839
Name:PARKVIEW ORTHOPAEDIC GROUP S C
Entity Type:Organization
Organization Name:PARKVIEW ORTHOPAEDIC GROUP S C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ERHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-923-2565
Mailing Address - Street 1:7600 W COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1001
Mailing Address - Country:US
Mailing Address - Phone:708-361-0600
Mailing Address - Fax:708-923-2529
Practice Address - Street 1:688 CEDAR CROSSINGS DR
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-5200
Practice Address - Country:US
Practice Address - Phone:815-727-3030
Practice Address - Fax:815-463-8268
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARKVIEW ORTHOPAEDIC GROUP S C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-09
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty