Organization
ELITE ORTHOPAEDICS AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRASEKHAR SOMPALLI M.D. (PHYSICIAN / OWNER)
(773) 229-1414
Entity
Organization
Contact information
Practice address
2875 W 19TH ST, 2ND FLOOR - PHYSICIAN CENTER (NORTH SUITE), CHICAGO, IL 60623-3501
(773) 229-1414
Mailing address
6524 W ARCHER AVE, CHICAGO, IL 60638-2400
(773) 229-1414
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036094752
IL
Other
Enumeration date
06/20/2013
Last updated
03/23/2017
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