Provider Demographics
NPI:1194320267
Name:OVATION HAND INSTITUTE, LLC
Entity type:Organization
Organization Name:OVATION HAND INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHARIMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-712-0900
Mailing Address - Street 1:737 N MICHIGAN AVE STE 2270
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2680
Mailing Address - Country:US
Mailing Address - Phone:844-432-1600
Mailing Address - Fax:262-302-4075
Practice Address - Street 1:737 N MICHIGAN AVE STE 2270
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2680
Practice Address - Country:US
Practice Address - Phone:844-432-1600
Practice Address - Fax:262-302-4075
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OVATION HAND INSTITUTE , LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty