# CHICAGO MUSCULOSKELETAL INSTITUTE, S.C.

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

## Provider details

- **NPI number:** 1528153335
- **Authorized official:** DR. DANIEL T IVANKOVICH M.D. (OWNER)
- **Authorized official phone:** (217) 341-3935

## Contact information

- **Practice address:** 5645 W ADDISON ST, CHICAGO, IL 60634-4403
- **Practice address phone:** (217) 341-3935
- **Practice address fax:** (800) 281-6952
- **Mailing address:** PO BOX 411303, SAINT LOUIS, MO 63141-1303
- **Mailing address phone:** (773) 675-9900
- **Mailing address fax:** (800) 281-6952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 036105713 | IL | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 01/20/2026