Organization Active NPI

Alex Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1831220342
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036113953 Issued in IL
Legal business name
ALEX ORTHOPAEDICS LLC
Practice address
4801 W Peterson Ave
Suite 406
Chicago, IL 60646-5713
Phone
(773) 777-9100
Fax
(773) 777-9101
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Dr. Peter Alexander Snitovsky, MD
Title
President
Phone
(773) 777-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 036113953 IL Primary

Addresses

Primary practice location

4801 W Peterson Ave
Suite 406
Chicago, IL 60646-5713

Mailing address

4801 W Peterson Ave
Suite 406
Chicago, IL 60646-5713
Phone (773) 777-9100

Other identifiers 1

IdentifierTypeStateIssuer
036113953-5MedicaidIL

National Provider Directory

National Provider Directory

Locations

Dept 5972
Carol Stream, IL 60122

4801 W Peterson Ave
Ste 406
Chicago, IL 60646
Phone (773) 685-0110

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1831220342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE",
            "address_2": "SUITE 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465713",
            "telephone_number": "773-777-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE",
            "address_2": "SUITE 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465713",
            "telephone_number": "773-777-9100",
            "fax_number": "773-777-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX ORTHOPAEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "SNITOVSKY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-777-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036113953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113953-5",
            "state": "IL"
        }
    ],
    "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 May 7, 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.