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Contact Information

CHICAGO ORTHOPAEDIC & SPORTS MEDICINE SC
2845 N SHERIDAN RD
SUITE 6400
CHICAGO, IL60657-5194
 Phone: 773-665-8400
 Fax: 773-665-8716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHICAGO ORTHOPAEDIC SPORTS MEDICINE SC · (Female)

NPI # 1356451355
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2006
Last updated 10/13/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other 130813301 DEPT OF LABOR
  • IL Other CC4422 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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