Active NPI
Orland Park Orthopedics
- Sports Medicine (Orthopaedic Surgery) Physician
- Chicago, IL
National Provider Identifier
1164621645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- ORLAND PARK ORTHOPEDICS
- Practice address
- 700 W Van Buren St Ste C1
Chicago, IL 60607-3617 - Phone
- (708) 722-2555
- Fax
- (708) 364-8443
- NPI assigned
- Jul 13, 2007
- Last updated
- Aug 26, 2022
- Organization subpart
- Yes
- Parent organization
- ORLAND PARK ORTHOPEDICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brent James Rhode, MS
- Title
- Chief Operating Officer
- Phone
- (708) 337-7704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
700 W Van Buren St Ste C1
Chicago, IL 60607-3617
Mailing address
700 W Van Buren St Ste C1
Chicago, IL 60607-3617
Phone (708) 722-2555
Other names 2
- Orland Park Orthopedics Center for Sports Medicine
- The Loop Orthopedics
National Provider Directory
National Provider Directory- Tax ID family
- Orland Park Orthopedics SC
- Part of
- Orland Park Orthopedics SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Peoria, IL
- NPI 1073081436
Locations
700 W Van Buren St
Ste C1
Chicago, IL 60607
Phone (708) 722-2555
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Orthopaedic Surgery Physician
- Orland Park, IL
- NPI 1346343936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661472000000",
"number": "1164621645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W VAN BUREN ST STE C1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073617",
"telephone_number": "708-722-2555",
"fax_number": "708-364-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W VAN BUREN ST STE C1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073617",
"telephone_number": "708-722-2555",
"fax_number": "708-364-8443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLAND PARK ORTHOPEDICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORLAND PARK ORTHOPEDICS",
"enumeration_date": "2007-07-13",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A",
"authorized_official_last_name": "RHODE",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "708-337-7704",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orland Park Orthopedics Center for Sports Medicine",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Orland Park Orthopedics Center for Sports Medicine",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "The Loop Orthopedics",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.