Chicago Orthopaedic & Sports Medicine SC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CHICAGO ORTHOPAEDIC & SPORTS MEDICINE SC

Practice address

3000 N Halsted St
Suite 525
Chicago, IL 60657

Phone

(773) 433-3130

Fax

(773) 433-3125

NPI assigned

Mar 15, 2006

Last updated

Oct 7, 2015By 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. David Guelich, MD

Title

President

Phone

(773) 433-3130

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1285603928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "#525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "773-433-3130",
            "fax_number": "773-433-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-433-3130",
            "fax_number": "773-433-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO ORTHOPAEDIC & SPORTS MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "GUELICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-433-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "130813300",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC4422",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago OB-GYN Ultrasound SC
• Chicago Ocd & Trauma Therapy
• Chicago Oculofacial Plastic Surgery, S.C.
• Chicago Ophthalmology, P.C.
• Chicago Oral & Maxillofacial Surgery
• Chicago Orthopaedic & Sports Medicine SC
• Chicago Orthopaedics and Sports Medicine SC
• Chicago Orthopaedics and Sports Medicine, S.C.
• Chicago Osteopathic Hospital Dental Clinic, P.C.
• Chicago Pain & Headache Clinic

• 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 Oct 7, 2015; 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.