Chicago Sports Medicine Institute

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

CHICAGO SPORTS MEDICINE INSTITUTE

Practice address

875 N Dearborn St
Chicago, IL 60610-7377

Phone

(312) 255-7540

Fax

(312) 255-1276

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Karen Matthews

Title

Billing Manager

Phone

(773) 480-4584

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1992220404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107377",
            "telephone_number": "312-255-7540",
            "fax_number": "312-255-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107377",
            "telephone_number": "312-255-7540",
            "fax_number": "312-255-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO SPORTS MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "773-480-4584"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036091945",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Spinal Care LLC
• Chicago Spine and Sports, P.C.
• Chicago Sports and Chiropractic Medicine, SC
• Chicago Sports and Spine, LLC
• Chicago Sports Clinic, Inc
• Chicago Sports Medicine LLC
• Chicago Star Dental PC
• Chicago State University
• Chicago Style Smiles, LLC
• Chicago Surgical Group, LTD.

• Sports Medicine (Orthopaedic Surgery) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.