Organization
CHICAGO ORTHOPAEDICS AND SPORTS MEDICINE, S.C.
Active
Parent organization
CHICAGO ORTHOPAEDICS AND SPORTS MEDICINE, S.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHICAGO ORTHOPAEDICS AND SPORTS MEDICINE, S.C.
Authorized official
DAVID A HOFFMAN MD (PRESIDENT)
(773) 433-3130
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, #525, CHICAGO, IL 60657-5188
(773) 433-3130
(773) 433-3125
Mailing address
3000 N HALSTED ST, #525, CHICAGO, IL 60657-5188
(773) 433-3130
(773) 433-3125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-070934
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
036-070934
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0864364
—
IL
Enumeration date
11/12/2008
Last updated
11/13/2008
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