Chicago Orthopaedic & Sports Medicine SC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CHICAGO ORTHOPAEDIC & SPORTS MEDICINE SC

Practice address

2845 N Sheridan Rd
Suite 6400
Chicago, IL 60657-5194

Phone

(773) 665-8400

Fax

(773) 665-8716

NPI assigned

Aug 30, 2006

Last updated

Oct 13, 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 R Guelich, MD

Title

President

Phone

(773) 880-0400

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas A Diekevers, DPM

  • Foot Surgery Podiatrist
  • Chicago, IL
  • NPI 1740259365
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1356451355",
    "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": "773-880-0400",
            "fax_number": "773-880-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD",
            "address_2": "SUITE 6400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575194",
            "telephone_number": "773-665-8400",
            "fax_number": "773-665-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO ORTHOPAEDIC & SPORTS MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "GUELICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-880-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "130813301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4422",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Chicago Pain & Headache Clinic LTD

• 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 13, 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.