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ILLINOIS ORTHOPEDIC NETWORK LLC NPI 1205192978


NPI Information

NPI: 1205192978
Provider Name: ILLINOIS ORTHOPEDIC NETWORK, LLC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization

CLIA Number: 14D2030932

Address:
712 N DEARBORN ST
CHICAGO, IL
ZIP 60654
Phone: (312) 451-4913
Get Directions

ILLINOIS ORTHOPEDIC NETWORK, LLC is a neuromusculoskeletal medicine sports medicine in Chicago, IL. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ ILLINOIS ORTHOPEDIC NETWORK, LLC NPI is 1205192978. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

712 N DEARBORN ST
CHICAGO, IL
ZIP 60654-818
Phone: (312) 451-4913
Fax: (312) 268-5434

The provider's authorized official is Marc J Strongin .
The authorized official title is Partner and has the following contact phone number (312) 451-4913.

The CLIA number assigned to this NPI record is 14D2030932 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2012 and was last updated on 4/7/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineYes

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

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