Chicago Sports Medicine LLC
Chicago Sports Medicine LLC provides Family Medicine Physician services in Chicago, Illinois. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1130 W Granville AveChicago, IL 60660-2013 Not confirmed with CMS for 11 years — call before visiting
Phone: (773) 784-6682
Fax: (773) 784-5735
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1093107989 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrew Gard — Owner · (773) 784-6682 |
| NPI enumerated | March 2, 2015 |
| Last updated in NPPES | March 2, 2015 |
| Mailing address | 1130 W Granville Ave, Chicago, IL 60660-2013 |
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