Chicago Sports Medicine Institute

LBN: Chicago Sports Medicine Institute
Chicago Sports Medicine Institute is an health care organization with primary practice located at 875 N Dearborn St , Chicago IL 60610-7377. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Chicago Sports Medicine Institute can be contacted via phone (312) 255-7540, or through Matthews, Karen via phone (773) 480-4584.

Contact Information

Primary practice address
875 N Dearborn St Chicago IL 60610-7377
Phone: (312) 255-7540
Fax: (312) 255-1276
Website:
Map and Directions
Authorized official contact:
Name: Matthews, Karen
Phone: (773) 480-4584

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1992220404
LBN Legal business name Chicago Sports Medicine Institute
DBA Doing business as
Authorized official Matthews, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992220404 NPPES
Illinois Other 036091945 LICENSE

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