Global Institute of Regenerative Medicine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GLOBAL INSTITUTE OF REGENERATIVE MEDICINE LLC

Doing business as

Giostar Chicago

Practice address

2614 Patriot Blvd Unit a
Glenview, IL 60026-8024

Phone

(847) 750-4307

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Shelly Sood

Title

Owner

Phone

(312) 401-3495

Specialties & licenses 1

Addresses

Other names 1

• Giostar Chicago Doing business as

Locations

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1326639790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 GLENVIEW RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 PATRIOT BLVD UNIT A",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "847-750-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL INSTITUTE OF REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "SOOD",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-401-3495"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giostar Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.