MIDAMERICA HAND TO SHOULDER CLINIC
NPI 1700140613
Orthopaedic Surgery in Mokena, IL
NPI Status: Active since June 26, 2012
Contact Information
19065 HICKORY CREEK DR
SUITE 210
MOKENA, IL
ZIP 60448
Phone: (708) 237-7200
Fax: (815) 838-0590
- Organization
- Orthopaedic Surgery
- CLIA Number: 14D2168951
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-10-2027
About MIDAMERICA HAND TO SHOULDER CLINIC
This page provides the complete NPI Profile along with additional information for Midamerica Hand To Shoulder Clinic, a provider established in Mokena, Illinois operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1700140613 assigned on June 2012. The practitioner's primary taxonomy code is 207X00000X with license number 036-084909 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. Midamerica Hand To Shoulder Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Midamerica Hand To Shoulder Clinic. The authorized official of this NPI record is Dr. Anton J Fakhouri M.d. (President)
- NPI
- 1700140613
- Provider Legal Name
- MIDAMERICA ORTHOPAEDICS, S.C.
- Other Organization Name
- MIDAMERICA HAND TO SHOULDER CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 19065 HICKORY CREEK DR SUITE 210 MOKENA, IL 60448
- Location Phone
- (708) 237-7200
- Location Fax
- (815) 838-0590
- Mailing Address
- 19065 HICKORY CREEK DR SUITE 210 MOKENA, IL 60448
- Mailing Phone
- (708) 237-7200
- Mailing Fax
- (815) 838-0590
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2012
- Last Update Date
- 06-26-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-084909
- License State
- IL
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2082S0105X | Allopathic & Osteopathic Physicians | Plastic Surgery | 036-095853 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2168951
- Facility Type
- Physician Office
- Certificate Effective Date
- July 11, 2025
- Certificate Expiration Date
- July 10, 2027
- Laboratory Director
- GARY A. KRONEN M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Midamerica Hand To Shoulder Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1700140613, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
MOKENA, IL 60448
MOKENA, IL 60448
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700140613, enumerated as an "organization" on June 26, 2012.
The provider is located at 19065 HICKORY CREEK DR SUITE 210 MOKENA, IL 60448 and the phone number is (708) 237-7200.
Orthopaedic Surgery with taxonomy code 207X00000X.
