Riverside Orthopedics, Ltd

LBN: Riverside Orthopedics, Ltd
Riverside Orthopedics, Ltd is an health care organization with primary practice located at 6641 West Ogden Avenue , Berwyn IL 60402-3756. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as the primary health care specialty. Riverside Orthopedics, Ltd can be contacted via phone (708) 484-9480, or through Iftikhar, Tariq Bin via phone (708) 484-9480.

Contact Information

Primary practice address
6641 West Ogden Avenue Berwyn IL 60402-3756
Fax: (708) 484-9482
Website:
Authorized official contact:
Name: Iftikhar, Tariq Bin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 036047917 Illinois

Profile Details

NPI number 1316051741
LBN Legal business name Riverside Orthopedics, Ltd
DBA Doing business as
Authorized official Iftikhar, Tariq Bin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Aug 26th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316051741 NPPES
Illinois Other 3181386 AETNA
Illinois MEDICAID 036047917 AETNA
Illinois Other 006895400 AETNA
Illinois Other 154664 AETNA
Illinois Other 202841400 AETNA
Illinois Other 320541514 AETNA
Illinois Other P00064487 AETNA
Illinois Other 01633335 AETNA
Illinois Other 2072539 AETNA
Illinois Other AS62001780001 AETNA
Illinois Other 1343149 AETNA

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