Organization Active NPI

Treister Orthopaedic Services LTD

  • Specialist
  • Chicago, IL
National Provider Identifier
1235100066
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36042189 Issued in IL
Legal business name
TREISTER ORTHOPAEDIC SERVICES LTD
Practice address
1431 N Western Ave
Suite 510
Chicago, IL 60622-1797
Phone
(312) 633-5866
Fax
(312) 491-5096
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Michael Roy Treister, M.D.
Title
Head Official
Phone
(312) 633-5866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 36042189 IL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 36057244 IL

Addresses

Primary practice location

1431 N Western Ave
Suite 510
Chicago, IL 60622-1797

Mailing address

1431 N Western Ave
Suite 510
Chicago, IL 60622-1797
Phone (312) 633-5866

Other identifiers 1

IdentifierTypeStateIssuer
1615856OtherILBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1235100066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "312-633-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "312-633-5866",
            "fax_number": "312-491-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREISTER ORTHOPAEDIC SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "TREISTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "HEAD OFFICIAL",
        "authorized_official_telephone_number": "312-633-5866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "36042189",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "36057244",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1615856",
            "state": "IL"
        }
    ],
    "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 13, 2009; 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.