SPORTS AND ORTHO P.C NPI 1871640565

NPI Information

NPI: 1871640565
Provider Name: SPORTS AND ORTHO P.C
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
412 W 31ST ST
CHICAGO, IL
ZIP 60616
Phone: (312) 225-3119
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SPORTS AND ORTHO P.C is a rehabilitation clinic center in Chicago, IL. SPORTS AND ORTHO P.C NPI is 1871640565. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

412 W 31ST ST
CHICAGO, IL
ZIP 60616-116
Phone: (312) 225-3119
Fax: (312) 225-3219

The provider's authorized official is Dahlia Fahmy .
The authorized official title is Owner and has the following contact phone number (312) 375-5354.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 7/16/2013.

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	Primary
1	235Z00000X	Speech-Language Pathologist		No
2	225XP0200X	Occupational Therapist	Pediatrics	No
3	2251P0200X	Physical Therapist	Pediatrics	No
4	2251S0007X	Physical Therapist	Sports	No
5	222Q00000X	Developmental Therapist		No
6	261QR0400X	Clinic/Center	Rehabilitation	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01633349	OTHER	ILLINOIS	BLUE CROSS
2	207630	MEDICARE UPIN	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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