ORTHOPEDIC & SPINE SURGERY ASSOC (NPI# 1225193386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225193386 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & SPINE SURGERY ASSOC |
| Other Organization Name | MIDWEST BONE & JOINT INSTITUTE |
| Practice Address |
2350 Royal Blvd Suite 200 Elgin IL 60123-4718 |
| Practice Telephone | 8479315300 |
| Practice Fax Number | 8479319072 |
| Mailing Telephone | 8479315300 |
| Mailing Fax Number | 8479319072 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | DR. MICHAEL GITELIS (PRESIDENT) |
| Authorized Official Telephone | 8479315300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | 208821 | 01 |
| Other Name | Type Code |
|---|---|
| Midwest Bone & Joint Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184789265 | Orthopedic & Spine Surgery Assoc | Prosthetic/Orthotic Supplier | 308 Randall Rd, Suite A, Geneva, IL 60134-4201 | 2006-12-27 |
| 1841330354 | Orthopedic & Spine Surgery Assoc | Orthopaedic Surgery | 2350 Royal Blvd, 200, Elgin, IL 60123-4719 | 2007-02-07 |
| 1831239177 | Orthopedic & Spine Surgery Assoc | Orthopaedic Surgery | 420 W Northwest Hwy, Suite M, Barrington, IL 60010-6837 | 2007-02-07 |
| 1619017993 | Orthopedic & Spine Surgery Assoc | Orthopaedic Surgery | 2971 W Algonquin Rd, Suite 101a, Algonquin, IL 60102-9406 | 2007-02-07 |
| 1528108966 | Orthopedic & Spine Surgery Assoc | Orthopaedic Surgery | 308 Randall Rd, Suite A, Geneva, IL 60134-4201 | 2007-02-07 |
| 1578628640 | Orthopedic & Spine Surgery Assoc | Prosthetic/Orthotic Supplier | 420 W Northwest Hwy, Suite M, Barrington, IL 60010-6837 | 2006-12-27 |
| 1083779151 | Orthopedic & Spine Surgery Assoc | Prosthetic/Orthotic Supplier | 2971 W Algonquin Rd, Suite 101a, Algonquin, IL 60102-9406 | 2006-12-27 |
| Street Address |
2350 ROYAL BLVD SUITE 200 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773101 | Brad L Epstein | Obstetrics & Gynecology | 2350 Royal Blvd, Suite 600, Elgin, IL 60123-4719 | 2005-07-08 |
| 1689212623 | Fox Valley Orthopaedic Associates, S.c. | Orthopaedic Surgery | 2350 Royal Blvd, Elgin, IL 60123-4719 | 2019-12-19 |
| 1235530080 | Cory Henry | Physical Therapist | 2350 Royal Blvd, #700, Elgin, IL 60123-4719 | 2014-09-11 |
| 1275973828 | Jessica Elaine Gronewold | Physical Therapist | 2350 Royal Blvd, Suite 700, Elgin, IL 60123-4719 | 2013-06-27 |
| 1427334473 | Katherine Anne Virnig | Physician Assistant | 2350 Royal Blvd, Suite 200, Elgin, IL 60123-4719 | 2011-10-21 |
| 1154578870 | Melissa Joy Miller | Obstetrics & Gynecology | 2350 Royal Blvd, Suite 600, Elgin, IL 60123 | 2008-08-25 |
| 1962668616 | Amanda J Moore | Audiologist | 2350 Royal Blvd, Elgin, IL 60123-4719 | 2008-08-01 |
| 1063635431 | Elio M Vento Md & Associates Sc | Internal Medicine | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4719 | 2007-04-11 |
| 1801910914 | Lizabeth Susan Rantissi | Physician Assistant | 2350 Royal Blvd, Ste 100, Elgin, IL 60123-4719 | 2007-03-16 |
| 1821128398 | Cynthia Applehoff | Physician Assistant | 2350 Royal Blvd, Suite 300, Elgin, IL 60123-4719 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219616 | Glammed Studio | Prosthetic/Orthotic Supplier | 47 Bristlecone Ln, Elgin, SC 29045-9584 | 2020-06-08 |
| 1861918914 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1600 N Randall Rd Ste 145, Elgin, IL 60123-7803 | 2017-08-21 |
| 1942732714 | Prosthetics & Orthotics Clinic, LLC | Prosthetic/Orthotic Supplier | 452 N Mclean Blvd Ste 101, Elgin, IL 60123-3273 | 2017-03-31 |
| 1649545286 | Smithotics LLC | Prosthetic/Orthotic Supplier | 75 Market St, Ste 4, Elgin, IL 60123-5093 | 2012-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
| 1225653686 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1290 W Northwest Hwy, Palatine, IL 60067-1897 | 2020-06-11 |
| 1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
| 1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
| 1134748767 | The Weave Luxe Bar | Prosthetic/Orthotic Supplier | 7315 Lemont Rd, Downers Grove, IL 60516-3807 | 2020-04-14 |
| 1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
| 1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
| 1164080743 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 391 Quadrangle Dr Ste N4, Bolingbrook, IL 60440-3443 | 2019-05-30 |
| 1760047583 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 13500 Circle Dr Ste 202, Orland Park, IL 60462-1343 | 2019-05-07 |
| 1114580107 | Thomas Gavin | Prosthetic/Orthotic Supplier | 1010 Jorie Blvd Ste 24, Oak Brook, IL 60523-4450 | 2019-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.