WINDY CITY ORTHOPEDICS AND SPORTS MEDICINE NPI 1003257668

NPI Information

NPI: 1003257668
Provider Name: WINDY CITY ORTHOPEDICS AND SPORTS MEDICINE
Classification: Registered Nurse - 163WG0000X
Entity Type: Organization

Specialization: General Practice

Address:
2617 W PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 743-1981
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WINDY CITY ORTHOPEDICS AND SPORTS MEDICINE is a general practice registered nurse in Chicago, IL. WINDY CITY ORTHOPEDICS AND SPORTS MEDICINE NPI is 1003257668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2617 W PETERSON AVE
CHICAGO, IL
ZIP 60659-004
Phone: (773) 743-1981

The provider's authorized official is Gary Klaud Miller .
The authorized official title is Owner and has the following contact phone number (773) 743-1981.

The enumeration date for this NPI number is 7/11/2013 and was last updated on 7/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	041327378	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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