Organization Active NPI

Midamerica Orthopaedics, S.C.

  • Orthopaedic Hand Surgery Physician
  • Schaumburg, IL
National Provider Identifier
1962766865
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
036-076397 Issued in IL
Legal business name
MIDAMERICA ORTHOPAEDICS, S.C.
Practice address
1990 E Algonquin Rd
Suite 200
Schaumburg, IL 60173-4173
Phone
(847) 303-5790
Fax
(847) 303-5795
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anton J Fakhouri, M.D.
Title
President
Phone
(708) 237-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 036-076397 IL
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X 036-076397 IL Primary

Addresses

Primary practice location

1990 E Algonquin Rd
Suite 200
Schaumburg, IL 60173-4173

Mailing address

1990 E Algonquin Rd
Suite 200
Schaumburg, IL 60173-4173
Phone (847) 303-5790

Other names 1

  • MidAmerica Hand to Shoulder Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1990 E Algonquin Rd
Ste 200
Schaumburg, IL 60173
Phone (708) 923-6660

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1962766865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 E ALGONQUIN RD",
            "address_2": "SUITE 200",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734173",
            "telephone_number": "847-303-5790",
            "fax_number": "847-303-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 E ALGONQUIN RD",
            "address_2": "SUITE 200",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734173",
            "telephone_number": "847-303-5790",
            "fax_number": "847-303-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAMERICA ORTHOPAEDICS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "FAKHOURI",
        "authorized_official_first_name": "ANTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-237-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-076397",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IL",
            "license": "036-076397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidAmerica Hand to Shoulder Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.