# WINDY CITY ORTHOPEDICS AND SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003257668
- **Authorized official:** GARY KLAUD MILLER MD (OWNER)
- **Authorized official phone:** (773) 743-1981

## Contact information

- **Practice address:** 2617 W PETERSON AVE, CHICAGO, IL 60659-4004
- **Practice address phone:** (773) 743-1981
- **Mailing address:** 2617 W PETERSON AVE, CHICAGO, IL 60659-4004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 041327378 | IL | Yes |

## Other

- **Enumeration date:** 07/11/2013
- **Last updated:** 07/11/2013