Organization Active NPI

Gold Coast Orthopaedic and Spine Surgery SC

  • Medical Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1124283130
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
016004364 Issued in IL
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

Updated by the provider on Jan 10, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.