Provider Demographics
NPI:1942495767
Name:LAMBERTI ORTHOPEDIC & HAND SURGERY LLC
Entity Type:Organization
Organization Name:LAMBERTI ORTHOPEDIC & HAND SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMBERTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-573-0799
Mailing Address - Street 1:2425 W 22ND ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1245
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2425 W 22ND ST
Practice Address - Street 2:SUITE 212
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1245
Practice Address - Country:US
Practice Address - Phone:630-573-0799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036102138207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036102138Medicaid
IL036102138Medicaid
IL216911Medicare PIN
ILDO7611Medicare PIN
IL215586Medicare PIN