Provider Demographics
NPI:1407881469
Name:PARKVIEW ORTHOPAEDIC GROUP S C
Entity type:Organization
Organization Name:PARKVIEW ORTHOPAEDIC GROUP S C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAMBURIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-361-0600
Mailing Address - Street 1:688 CEDAR CROSSING DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451
Mailing Address - Country:US
Mailing Address - Phone:815-727-3030
Mailing Address - Fax:815-740-4964
Practice Address - Street 1:688 CEDAR CROSSING DRIVE
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451
Practice Address - Country:US
Practice Address - Phone:815-727-3030
Practice Address - Fax:815-740-4964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL42000080174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209984OtherPROVIDER NUMBER
IL0318510002Medicare NSC