| Organization Name: | R&R 1 LLC |
| NPI Number: | 1962815340 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW BRADLEY (OWNER) |
| Mailing Address: | 2071 Goose Lake Rd Sauget |
| State: | IL US |
| Postal Code: | 622062822 |
| Phone Number: | 6188572634 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2014 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207XS0114X |
| License Number: | 036127269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Orthopaedic Surgery |
| Taxonomy Specialization: | Adult Reconstructive Orthopaedic Surgery |
| Taxonomy Definition: | Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |