Chitown Orthopaedics & Sports Medicine S.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036095583 Issued in IL

Legal business name

CHITOWN ORTHOPAEDICS & SPORTS MEDICINE S.C.

Practice address

4801 W Peterson Ave Ste 606
Chicago, IL 60646-5728

Phone

(773) 829-4700

Fax

(773) 437-8446

NPI assigned

Jan 3, 2017

Last updated

Feb 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Forman, D.O.NPI 1639122955

Title

President

Phone

(773) 829-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Edward Forman, DO

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1639122955
  Medicare reassignment NPD Authorized official
• Mary Delanie Aguilar, RPT

  • Physical Therapist
  • Glenview, IL
  • NPI 1881047660
  Medicare reassignment NPD

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1174068944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8497",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600938497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 606",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465728",
            "telephone_number": "773-829-4700",
            "fax_number": "773-437-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITOWN ORTHOPAEDICS & SPORTS MEDICINE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-829-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036095583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Chiszar, LSW
• Anirudh Chitale, MD
• Ron C Chitekwe, PA-C
• Sara Chitlik
• Swapna Chitneni, RPH
• Chitowncabbie Inc. (ChitownCabbie Taxi Service)
• Mahsa Chitsaz, MD
• Andres Chiu
• Andrew Kuanju Chiu, MD
• Brandon Chiu, PHARMD

• Orthopaedic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.