Provider Demographics
NPI:1457373953
Name:MIDWEST ORTHOPEDIC CONSULTANTS SC
Entity type:Organization
Organization Name:MIDWEST ORTHOPEDIC CONSULTANTS SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFTERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-226-3300
Mailing Address - Street 1:10719 160TH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5541
Mailing Address - Country:US
Mailing Address - Phone:708-226-3300
Mailing Address - Fax:708-226-3020
Practice Address - Street 1:10719 WEST 160TH STREET
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5541
Practice Address - Country:US
Practice Address - Phone:708-226-3300
Practice Address - Fax:708-226-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01619967OtherBLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
IL363420OtherMEDICARE GROUP PROVIDER NUMBER
ILCL4152OtherRAILROAD MEDICARE GROUP PROVIDER NUMBER
IL01619967OtherBLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
ILH15606Medicare UPIN
ILQ29463Medicare UPIN
ILG52737Medicare UPIN
ILP13174Medicare UPIN
IL085002936OtherDANA MURPHY LICENSE NUMBER
ILI06620Medicare UPIN
ILC45868Medicare UPIN
ILG31116Medicare UPIN
ILE95944Medicare UPIN
ILU93283Medicare UPIN
ILQ30440Medicare UPIN
IL1032380001Medicare NSC
ILE87210Medicare UPIN