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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

NPI Number 1356451355
LBN Legal business name CHICAGO ORTHOPAEDIC & SPORTS MEDICINE SC
Authorized official DAVID GUELICH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 10/13/2015 - About 11 years ago
Identifiers
Other 130813301 DEPT OF LABOR
IL Other CC4422 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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