# STAMELOS CLINIC FOR ORTHOPEDIC DISORDERS INC

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

## Provider details

- **NPI number:** 1245303361
- **Authorized official:** DR. SPIROS GEORGE STAMELOS M.D. (ORTHOPEDIC SPECIALIST)
- **Authorized official phone:** (773) 281-6700

## Contact information

- **Practice address:** 1224 W BELMONT AVE, CHICAGO, IL 60657-3207
- **Practice address phone:** (773) 281-6700
- **Practice address fax:** (847) 632-1530
- **Mailing address:** 1224 W BELMONT AVE, CHICAGO, IL 60657-3207
- **Mailing address phone:** (773) 281-6700
- **Mailing address fax:** (847) 632-1530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 31600815 | BLUE CROSS BLUE SHIELD | IL |