Provider Demographics
NPI:1891480372
Name:ASHBERG SPECIALTY ORTHOPEDICS LLC
Entity type:Organization
Organization Name:ASHBERG SPECIALTY ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYALL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-796-9928
Mailing Address - Street 1:201 N US HWY 1
Mailing Address - Street 2:SUITE D10, #1011
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5138
Mailing Address - Country:US
Mailing Address - Phone:561-510-1514
Mailing Address - Fax:561-510-1514
Practice Address - Street 1:201 N US HWY 1
Practice Address - Street 2:SUITE D10, #1011
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5135
Practice Address - Country:US
Practice Address - Phone:561-510-1514
Practice Address - Fax:561-510-1514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty