NPIMap

Organization Active NPI

Chicago Orthopaedics and Sports Medicine, S.C.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1114171477
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
036-070934 Issued in IL
Legal business name
CHICAGO ORTHOPAEDICS AND SPORTS MEDICINE, S.C.
Practice address
3000 N Halsted St
#525
Chicago, IL 60657-5188
Phone
(773) 433-3130
Fax
(773) 433-3125
NPI assigned
Nov 12, 2008
Last updated
Nov 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CHICAGO ORTHOPAEDICS AND SPORTS MEDICINE, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
David A Hoffman, MDNPI 1801865191
Title
President
Phone
(773) 433-3130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 036-070934 IL Primary
Specialist 174400000X 036-070934 IL

Addresses

Primary practice location

3000 N Halsted St
#525
Chicago, IL 60657-5188

Mailing address

3000 N Halsted St
#525
Chicago, IL 60657-5188
Phone (773) 433-3130

Other identifiers 1

IdentifierTypeStateIssuer
0864364MedicaidIL

National Provider Directory

National Provider Directory
Part of
Chicago Ortho Sports Med

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1114171477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "#525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "773-433-3130",
            "fax_number": "773-433-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "#525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "773-433-3130",
            "fax_number": "773-433-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO ORTHOPAEDICS AND SPORTS MEDICINE, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO ORTHOPAEDICS AND SPORTS MEDICINE, S.C.",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-433-3130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "036-070934",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-070934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0864364",
            "state": "IL"
        }
    ],
    "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 Nov 13, 2008; 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.