MidAmerica Hand to Shoulder Clinic – Orthopaedic Surgery Physician, NPI 1003171596

MidAmerica Hand to Shoulder Clinic is a healthcare provider. based in Libertyville, Illinois. specializing in Orthopaedic Surgery Physician. The organization holds a License No. 036-096721 (IL). The NPI Number for MidAmerica Hand to Shoulder Clinic is 1003171596

Main info

Organization
Name
MidAmerica Hand to Shoulder Clinic
NPI
1003171596
Phone
(847) 247-0547
Address
1419 PETERSON RD
Authorized Official
DR. ANTON J FAKHOURI PRESIDENT M.D.
Enumeration Date
10 July 2012
Last Update Date
27 June 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:13State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for MidAmerica Hand to Shoulder Clinic

  • 1419 PETERSON RD

    LIBERTYVILLE, IL 600481001

    Phone: (847) 247-0547

    Fax: (847) 247-0540

    Type: Mailing

  • 19065 Hickory Creek Dr Ste 210

    Mokena, IL 604488597

    Phone: (708) 237-7200

    Fax: (708) 237-7201

    Type: Location

  • 10330 S ROBERTS RD

    PALOS HILLS, IL 604651971

    Phone: (708) 237-7252

    Fax: (708) 237-7274

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60048)

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Reviews

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Frequently asked questions

How is MidAmerica Hand to Shoulder Clinic identified in CMS data?
CMS-hosted NPPES data lists MidAmerica Hand to Shoulder Clinic with NPI 1003171596.
Does CMS list MidAmerica Hand to Shoulder Clinic as active?
Yes — MidAmerica Hand to Shoulder Clinic is active in the NPI listing used on this page.
What is MidAmerica Hand to Shoulder Clinic's specialty?
The listing groups MidAmerica Hand to Shoulder Clinic with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does MidAmerica Hand to Shoulder Clinic serve?
MidAmerica Hand to Shoulder Clinic's listing highlights Libertyville, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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