South Chicago Orthopedic Specialists, SC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036118743 Issued in IL

Legal business name

SOUTH CHICAGO ORTHOPEDIC SPECIALISTS, SC

Practice address

1701 W Monterey Ave Ste 4
Chicago, IL 60643-4257

Phone

(872) 228-0235

Fax

(773) 530-0520

NPI assigned

Jun 13, 2016

Organization subpart

No

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

Authorized official

Name

Steven Arthur Chandler, D.O.NPI 1639294952

Title

Physician

Phone

(872) 228-0235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Arthur Chandler, DO

  • Orthopaedic Surgery Physician
  • Oak Lawn, IL
  • NPI 1639294952
  Medicare reassignment Care Compare group NPD Authorized official
• Alli Joy Chemmachel

  • Physician Assistant
  • Downers Grove, IL
  • NPI 1629695333
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1285084046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W MONTEREY AVE STE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434257",
            "telephone_number": "872-228-0235",
            "fax_number": "773-530-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W MONTEREY AVE STE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434257",
            "telephone_number": "872-228-0235",
            "fax_number": "773-530-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHICAGO ORTHOPEDIC SPECIALISTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "872-228-0235",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036118743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Central Community Services, Inc.
• South Central Community Services, Inc.
• South Central Community Services, Inc.
• South Chicago Foot & Ankle Center, LTD
• South Chicago Lab Limited
• South Chicago Parents and Friends, Inc.
• South Chicago Physicial Medicine
• South Chicago Sleep Lab, Inc.
• South Chicago SLF, LLC
• South Haven Behavioral Modification II Inc

• 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 Nov 2, 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.