Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Orthopaedic Trauma
Enumerated
Sep 24, 2006
License(s)
036111549 (IL), 036111549 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2650 RIDGE AVE STE 1223 | Evanston, IL 60201-1700 | 847-570-2040 |
| LOCATION | 9650 GROSS POINT RD STE 2900 | Skokie, IL 60076-5006 | 847-866-7846 |
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