Organization Active NPI

Illinois Orthopedic Network, LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1205192978
Registry record updated Apr 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
ILLINOIS ORTHOPEDIC NETWORK, LLC
Practice address
712 N Dearborn St
Chicago, IL 60654-3818
Phone
(312) 451-4913
Fax
(312) 268-5434
NPI assigned
Apr 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2012

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

Authorized official

Name
Dr. Marc J Strongin, DC
Title
Partner
Phone
(312) 451-4913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204C00000X Primary

Addresses

Primary practice location

712 N Dearborn St
Chicago, IL 60654-3818

Mailing address

712 N Dearborn St
Chicago, IL 60654-3818
Phone (312) 451-4913

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2030932Illinois Orthopedic Network712 N Dearborn St, Chicago, IL 60654Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333756800000",
    "number": "1205192978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543818",
            "telephone_number": "312-451-4913",
            "fax_number": "312-268-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543818",
            "telephone_number": "312-451-4913",
            "fax_number": "312-268-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS ORTHOPEDIC NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-07",
        "last_updated": "2012-04-07",
        "status": "A",
        "authorized_official_last_name": "STRONGIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-451-4913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "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 Apr 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.