Organization Active NPI

Chicago Pain & Orthopedic Institute

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1992016414
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
038008101 Issued in IL
Legal business name
CHICAGO PAIN & ORTHOPEDIC INSTITUTE
Practice address
467 W Erie St
Chicago, IL 60654-5704
Phone
(312) 337-9913
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Authorized official

Name
Joshua Hedman, M.D. DPM
Title
Owner
Phone
(312) 943-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204C00000X 038008101 IL Primary

Addresses

Primary practice location

467 W Erie St
Chicago, IL 60654-5704

Mailing address

467 W Erie St
Chicago, IL 60654-5704
Phone (312) 337-9913

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1992016414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545704",
            "telephone_number": "312-337-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545704",
            "telephone_number": "312-337-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PAIN & ORTHOPEDIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "HEDMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-943-7246",
        "authorized_official_credential": "M.D. DPM"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "IL",
            "license": "038008101",
            "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 Aug 22, 2012; 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.