NPIMap

Organization Active NPI

Windy City Orthopedics and Sports Medicine

  • General Practice Registered Nurse
  • Chicago, IL
National Provider Identifier
1003257668
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
041327378 Issued in IL
Legal business name
WINDY CITY ORTHOPEDICS AND SPORTS MEDICINE
Practice address
2617 W Peterson Ave
Chicago, IL 60659-4004
Phone
(773) 743-1981
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Klaud Miller, MD
Title
Owner
Phone
(773) 743-1981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X 041327378 IL Primary

Addresses

Primary practice location

2617 W Peterson Ave
Chicago, IL 60659-4004

Mailing address

2617 W Peterson Ave
Chicago, IL 60659-4004

National Provider Directory

National Provider Directory
Tax ID family
Windy City Orthopedics and Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1003257668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594004",
            "telephone_number": "773-743-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY CITY ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "KLAUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-743-1981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041327378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.