Organization
WINDY CITY ORTHOPAEDICS AND SPORTS MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY KLAUD MILLER (PRESIDENT)
(847) 475-0200
Entity
Organization
Contact information
Practice address
2617 W PETERSON AVE, CHICAGO, IL 60659-4044
(847) 475-0200
(847) 475-7133
Mailing address
2617 W PETERSON AVE, CHICAGO, IL 60659-4044
(847) 475-0200
(847) 475-7133
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036052836
IL
Other
Enumeration date
06/01/2007
Last updated
08/03/2011
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