MEDICARE: STAMELOS CLINIC FOR ORTHOPEDIC DISORDERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31600815	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1245303361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAMELOS CLINIC FOR ORTHOPEDIC DISORDERS INC

Provider Business Mailing Address
First Line	:	1224 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3207
Country	:	US
Telephone Number	:	773-281-6700
Fax Number	:	847-632-1530

Provider Business Practice Location Address
First Line	:	1224 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3207
Country	:	US
Telephone Number	:	773-281-6700
Fax Number	:	847-632-1530

Authorized Official
Title or Position	:	ORTHOPEDIC SPECIALIST
Name	:	DR. SPIROS GEORGE STAMELOS
Credential	:	M.D.
Telephone Number	:	773-281-6700

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	03/07/2023

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Directions to “STAMELOS CLINIC FOR ORTHOPEDIC DISORDERS INC ” Practice Location

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