# CHICAGO ORTHOPAEDIC & SPORTS MEDICINE SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1285603928
- **Authorized official:** DR. DAVID GUELICH MD (PRESIDENT)
- **Authorized official phone:** (773) 433-3130

## Contact information

- **Practice address:** 3000 N HALSTED ST, SUITE 525, CHICAGO, IL 60657
- **Practice address phone:** (773) 433-3130
- **Practice address fax:** (773) 433-3125
- **Mailing address:** 3000 N HALSTED ST, \#525, CHICAGO, IL 60657-5188
- **Mailing address phone:** (773) 433-3130
- **Mailing address fax:** (773) 433-3125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 10/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 130813300 | DEPT OF LABOR | IL |
| 01 | — | CC4422 | RAILROAD MEDICARE | IL |