Stanford Tack is a Libertyville, Illinois based male orthopedic surgeon with 39 years of experience in Orthopedic Surgery. He completed his graduation from Other in 1985. He is also affiliated with hospitals like Northwestern Lake Forest Hospital and Northwestern Memorial Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stanford Tack is 036-075136 for Orthopedic Surgery in Illinois.
Stanford Tack 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 including the patients with musculoskeletal problems which 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. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Stanford Tack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5193724938
Enrollment ID:
I20061205000585
NPI Number:
1558314013
NPI Enumeration Date:
18 May, 2006
NPI Last Update On:
28 Aug, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stanford Tack are as mentioned below.
License Number
Specialization
State
Status
036-075136
Orthopedic Surgery
Illinois
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Northwestern Lake Forest Hospital (140130)
Lake forest, IL
Acute Care Hospital
Northwestern Memorial Hospital (140281)
Chicago, IL
Acute Care Hospital
Advocate Condell Medical Center (140202)
Libertyville, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Stanford Tack is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Illinois Bone And Joint Institute Llc (6002814878)
485
Other Medical Identifiers:
Other legacy medical identifiers associated with Stanford Tack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
036-075136
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
900 Rand Rd Ste 300, Attn: Raquel Leon Des Plaines, Illinois
Zip:
60016-2359
Phone Number:
847-324-3976
Fax Number:
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Patients can reach Stanford Tack at 720 Florsheim Dr, Libertyville, Illinois or can call to book an appointment on 847-247-4000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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