Provider Demographics
NPI:1144274606
Name:SOUTHWEST ORTHOPEDICS, S.C.
Entity type:Organization
Organization Name:SOUTHWEST ORTHOPEDICS, S.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:DURUDOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-229-0101
Mailing Address - Street 1:9618 SOUTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2862
Mailing Address - Country:US
Mailing Address - Phone:708-229-0101
Mailing Address - Fax:708-229-0090
Practice Address - Street 1:9618 SOUTHWEST HWY
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2862
Practice Address - Country:US
Practice Address - Phone:708-229-0101
Practice Address - Fax:708-229-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty