Active NPI
Midamerica Orthopaedics, S.C.
- Orthopaedic Hand Surgery Physician
- Schaumburg, IL
National Provider Identifier
1962766865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 036-076397
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036-076397 | IL | |
| Orthopaedic Hand Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.