Anthony S Rinella M D S C
Organization Active NPI Orthopaedic Surgery Physician · Homer Glen, IL
NPI 1760626717 · NPPES record last updated Dec 14, 2010
Key facts
- NPI
- 1760626717
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 036106352 (IL)
- Legal business name
- ANTHONY S RINELLA M D S C
- Practice address
- 12701 W. 143Rd Street
Suite 110
Homer Glen, IL 60491-7721 - Phone
- (877) 694-7722
- Fax
- (815) 531-0055
- NPI assigned
- Apr 21, 2009
- Organization subpart
- No
Authorized official
- Name
- Ms. Wendy Bendfeldt
- Title
- Administrative Director
- Phone
- (877) 694-7722
Practitioners 4
-
Amir S El Shami, M.D.
-
Jason Welsch, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090821000094 | IL | Part B Supplier - Clinic/Group Practice | 1759435068 |
Receives reassigned benefits from 3 practitioners Practice locations: Hinsdale, IL; Homer Glen, IL; New Lenox, IL; Woodridge, IL |
National Provider Directory
Locations
12701 W 143rd St
Ste 110
Homer Glen, IL 60491
Phone (708) 364-0441
12701 W 143rd St
Ste 200
Homer Glen, IL 60491
Phone (815) 531-0055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 036106352 | IL | Yes |
| Orthopaedic Surgery of the Spine Physician |
207XS0117X | 036106352 | IL |
Addresses
Primary practice location
12701 W. 143Rd Street
Suite 110
Homer Glen, IL 60491-7721
Mailing address
12701 W. 143Rd Street
Suite 110
Homer Glen, IL 60491-7721
Phone (877) 694-7722
Other names
- Illinois Spine & Scoliosis Center
Other providers in Homer Glen, IL
- Sakher Almakhamreh
- Marisa Alonso
- Deborah L. Alvarado
- American Drug Stores LLC
- Anderson Medical Supply Inc
- Ivan Aryee
- Ashton Dental PC
- Athletic and Therapeutic Institute of Naperville, LLC
- Sunitha R Avula
- Axiom Monitoring Services, LLC
All providers in Homer Glen, IL · Orthopaedic Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.