Active NPI
G & T Orthopaedics and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- Elmhurst, IL
National Provider Identifier
1821025289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christos Giannoulias, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232584 | Other | IL | BCBS GROUP |
| 610189700 | Other | IL | DEPT OF LABOR |
| DC2601 | Other | IL | RAILROAD MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Elmhurst, IL
- NPI 1336198357
-
- Orthopaedic Surgery Physician
- Elmhurst, IL
- NPI 1235246463
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1770761934
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.