Organization Active NPI

Gitelis Orthopedics LTD

  • Prosthetic/Orthotic Supplier
  • Hoffman Estates, IL
National Provider Identifier
1477069607
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
036055465 Issued in IL
Legal business name
GITELIS ORTHOPEDICS LTD
Practice address
1800 McDonough Rd Ste 202
Hoffman Estates, IL 60192-4565
Phone
(847) 807-7770
Fax
(847) 807-7771
NPI assigned
Dec 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Dr. Michael Gitelis, MD
Title
Authorized Official/Provider
Phone
(847) 807-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 036055465 IL Primary

Addresses

Primary practice location

1800 McDonough Rd Ste 202
Hoffman Estates, IL 60192-4565

Mailing address

1800 McDonough Rd Ste 202
Hoffman Estates, IL 60192-4565
Phone (847) 807-7770

Other identifiers 6

IdentifierTypeStateIssuer
173531OtherILUNITED HEALTHCARE
176690556237OtherILHUMANA INSURANCE
180709OtherILCOVENTRY HEALTHCARE
4028613OtherILAETNA INSURANCE
671820MedicaidIL
5369851OtherILCIGNA INSURANCE

National Provider Directory

National Provider Directory

Locations

21660 W Field Pkwy
Fl 2
Deer Park, IL 60010
Phone (847) 807-7770

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1477069607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MCDONOUGH RD STE 202",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924565",
            "telephone_number": "847-807-7770",
            "fax_number": "847-807-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCDONOUGH RD STE 202",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924565",
            "telephone_number": "847-807-7770",
            "fax_number": "847-807-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GITELIS ORTHOPEDICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "GITELIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PROVIDER",
        "authorized_official_telephone_number": "847-807-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "036055465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "173531",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "176690556237",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "180709",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "4028613",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "671820",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "5369851",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.