Active NPI
Gold Coast Orthopaedic and Spine Surgery SC
- Medical Specialty Clinic/Center
- Chicago, IL
National Provider Identifier
1124283130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 016004364
- Legal business name
- GOLD COAST ORTHOPAEDIC AND SPINE SURGERY SC
- Practice address
- 7200 N. Western Ave
2ND Floor
Chicago, IL 60645 - Phone
- (312) 654-8800
- Fax
- (312) 654-8801
- NPI assigned
- Jul 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert James Fink, M.D.
- Title
- Owner/Orthopaedic Surgeon
- Phone
- (312) 907-6594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 016004364 | IL | Primary |
Addresses
Primary practice location
7200 N. Western Ave
2ND Floor
Chicago, IL 60645
Mailing address
7200 N. Western Ave
2ND Floor
Chicago, IL 60645
Phone (312) 654-8800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515542400000",
"number": "1124283130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 N. WESTERN AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60645",
"telephone_number": "312-654-8800",
"fax_number": "312-654-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 N. WESTERN AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60645",
"telephone_number": "312-654-8800",
"fax_number": "312-654-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD COAST ORTHOPAEDIC AND SPINE SURGERY SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-20",
"last_updated": "2018-01-10",
"status": "A",
"authorized_official_last_name": "FINK",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER/ORTHOPAEDIC SURGEON",
"authorized_official_telephone_number": "312-907-6594",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "IL",
"license": "016004364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Gold Coast Clinical Associates Inc
- Gold Coast Diagnostic Services, Inc.
- Gold Coast Gynecology Surgery SC
- Gold Coast Internal Medicine
- Gold Coast Orthopaedic and Spine Surgery S C
- Gold Coast Osteopathic, PSC
- Gold Coast Osteopathic, PSC
- Gold Coast Plastic Surgery LLC
- Gold Coast Podiatry Center, LLC
- Gold Coast Podiatry Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.