Organization Active NPI

Orland Park Orthopedics

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Chicago, IL
National Provider Identifier
1164621645
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ORLAND PARK ORTHOPEDICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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)CodeLicenseStatePrimary
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 Other name
  • The Loop Orthopedics Other name

National Provider Directory

National Provider Directory
Tax ID family
Orland Park Orthopedics SC2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.