Organization Active NPI

G & T Orthopaedics and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Elmhurst, IL
National Provider Identifier
1821025289
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
G & T ORTHOPAEDICS AND SPORTS MEDICINE
Practice address
1200 S York Rd
Suite 4190
Elmhurst, IL 60126-5626
Phone
(630) 782-1174
Fax
(773) 275-2443
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Christos Giannoulias, MDNPI 1336198357
Title
President
Phone
(630) 782-1174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

1200 S York Rd
Suite 4190
Elmhurst, IL 60126-5626

Mailing address

1200 S York Rd
Suite 4190
Elmhurst, IL 60126-5626
Phone (630) 782-1174

Other identifiers 3

IdentifierTypeStateIssuer
02232584OtherILBCBS GROUP
610189700OtherILDEPT OF LABOR
DC2601OtherILRAILROAD MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041122001048 IL Part B Supplier - Clinic/Group Practice 6507821212 Receives reassigned benefits from 3 practitioners
Practice locations: Elmhurst, IL

National Provider Directory

National Provider Directory

Locations

850 Biesterfield Rd
#2011
Elk Grove Village, IL 60007
Phone (847) 439-2314

1200 S York St
Ste 4190
Elmhurst, IL 60126
Phone (630) 782-1174

Practitioners & affiliated clinicians

Practitioners 4

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": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1821025289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 4190",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-782-1174",
            "fax_number": "773-275-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 4190",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-782-1174",
            "fax_number": "773-275-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & T ORTHOPAEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "GIANNOULIAS",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-782-1174",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "02232584",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "610189700",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DC2601",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.