Organization
CHICAGO SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GARD I DC (OWNER)
(773) 784-6682
Entity
Organization
Contact information
Practice address
1130 W GRANVILLE AVE, CHICAGO, IL 60660-2013
(773) 784-6682
(773) 784-5735
Mailing address
1130 W GRANVILLE AVE, CHICAGO, IL 60660-2013
(773) 784-6682
(773) 784-5735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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