North Chicago Orthopaedic Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTH CHICAGO ORTHOPAEDIC CLINIC

Practice address

2222 W Division St
Suite 235
Chicago, IL 60622-2717

Phone

(773) 486-7200

Fax

(773) 486-7667

NPI assigned

Jun 18, 2007

Last updated

Dec 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Houshang Farahvar, MD

Title

President

Phone

(773) 486-7200

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1043415284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7418",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601817418",
            "telephone_number": "773-486-7200",
            "fax_number": "773-486-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 235",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-486-7200",
            "fax_number": "773-486-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHICAGO ORTHOPAEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "FARAHVAR",
        "authorized_official_first_name": "HOUSHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-486-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053620",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200001533",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Center for Handicapped Children (North Center)
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• North Chicago Wellness
• North Clark Dental
• North Elston Immediate & Primary Care
• North Michigan Avenue Chiropractic

• Orthopaedic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.