Provider Demographics
NPI:1861440695
Name:NORTH SUBURBAN ORTHOPAEDIC ASSOCIATES LTD
Entity Type:Organization
Organization Name:NORTH SUBURBAN ORTHOPAEDIC ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:FIRLIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-296-0303
Mailing Address - Street 1:9301 GOLF ROAD
Mailing Address - Street 2:STE 101
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1600
Mailing Address - Country:US
Mailing Address - Phone:847-296-0303
Mailing Address - Fax:847-296-4902
Practice Address - Street 1:9301 GOLF ROAD
Practice Address - Street 2:STE 101
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1600
Practice Address - Country:US
Practice Address - Phone:847-296-0303
Practice Address - Fax:847-296-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042007190207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036036852Medicaid
IL036056864Medicaid
IL01615954OtherBLUE CROSS BLUE SHIELD IL
131024700OtherDEPT OF LABOR OWCP
S73701Medicare UPIN
201910143Medicare PIN
131024700OtherDEPT OF LABOR OWCP
D16785Medicare UPIN
1019820001Medicare NSC
CG3167Medicare PIN
200001098Medicare PIN
206093Medicare PIN
C45581Medicare UPIN
IL036036852Medicaid
IL036056864Medicaid
796180Medicare PIN