Organization Active NPI

Uptown Orthopaedic Surgeons SC

  • Specialist
  • Chicago, IL
National Provider Identifier
1669400271
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036-048615 Issued in IL
Legal business name
UPTOWN ORTHOPAEDIC SURGEONS SC
Practice address
1945 W Wilson Ave
Suite # 6116-18
Chicago, IL 60640-5255
Phone
(773) 275-5176
Fax
(773) 275-1130
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Dr. Edward Abraham, M.D.
Title
President
Phone
(773) 275-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036-048615 IL Primary

Addresses

Primary practice location

1945 W Wilson Ave
Suite # 6116-18
Chicago, IL 60640-5255

Mailing address

1945 W Wilson Ave
Suite # 6116-18
Chicago, IL 60640-5255
Phone (773) 275-5176

National Provider Directory

National Provider Directory

Locations

1945 W Wilson Ave
Ste 611618
Chicago, IL 60640
Phone (773) 275-5176

1945 W Wilson Ave
Ste 6116
Chicago, IL 60640
Phone (773) 275-5176

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1669400271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE",
            "address_2": "SUITE # 6116-18",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405255",
            "telephone_number": "773-275-5176",
            "fax_number": "773-275-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE",
            "address_2": "SUITE # 6116-18",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405255",
            "telephone_number": "773-275-5176",
            "fax_number": "773-275-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN ORTHOPAEDIC SURGEONS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-275-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-048615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.