Organization Active NPI

Orthopedic & Spine Surgery Assoc LTD

  • Orthopaedic Surgery Physician
  • Elgin, IL
National Provider Identifier
1871937201
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC & SPINE SURGERY ASSOC LTD
Practice address
1710 N Randall Rd
Suite 140
Elgin, IL 60123-9400
Phone
(224) 293-1170
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Michael Gitelis, MD
Title
President
Phone
(847) 931-5300

Specialties & licenses 1

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

Addresses

Primary practice location

1710 N Randall Rd
Suite 140
Elgin, IL 60123-9400

Mailing address

2350 Royal Blvd
Suite 200
Elgin, IL 60123-4719
Phone (847) 931-5300

Other identifiers 1

IdentifierTypeStateIssuer
208821OtherMEDICARE TIN

Other names 1

  • Midwest Bone & Joint Institute Doing business as

National Provider Directory

National Provider Directory

Locations

27790 W Highway 22
Ste 33
Barrington, IL 60010
Phone (847) 382-6766

420 W Northwest Hwy
Ste B
Barrington, IL 60010
Phone (847) 382-3864

27790 W Highway 22
Ste 12
Barrington, IL 60010
Phone (847) 382-3864

420 W Northwest Hwy
Ste J
Barrington, IL 60010
Phone (847) 382-6477

2350 Royal Blvd
Ste 800
Elgin, IL 60123
Phone (847) 931-2210

2350 Royal Blvd
Ste 700
Elgin, IL 60123
Phone (847) 931-2213

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1871937201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD",
            "address_2": "SUITE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234719",
            "telephone_number": "847-931-5300",
            "fax_number": "847-931-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "SUITE 140",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400",
            "telephone_number": "224-293-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE SURGERY ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "GITELIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-931-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TIN",
            "identifier": "208821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Bone & Joint Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.