Healthcare Provider Details

I. General information

NPI: 1023287182
Provider Name (Legal Business Name): CHICAGO INSTITUTE OF ORTHOPEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 N WINCHESTER AVE
CHICAGO IL
60640-5265
US

IV. Provider business mailing address

4501 N WINCHESTER AVE
CHICAGO IL
60640-5265
US

V. Phone/Fax

Practice location:
  • Phone: 773-250-1000
  • Fax:
Mailing address:
  • Phone: 773-250-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: JOHN MICHAEL CHERF
Title or Position: PRESIDENT
Credential:
Phone: 773-250-1990