in Chicago - Sports Medicine

- NPI 1043477052

is a Sports Medicine in Chicago, Illinois. practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for is 1043477052. The last update date is .

's current location address is 680 N Lake Shore Dr Ste 924, Chicago, Illinois. You can contact this provider via phone number 8478667846 and fax number 8669545787. The mailing address for is 680 N Lake Shore Dr Ste 924, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 680 N Lake Shore Dr Ste 924, Chicago, Illinois
Phone Number 8478667846
Fax Number 8669545787
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1043477052
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 680 N Lake Shore Dr Ste 924
City Chicago
State Illinois (IL)
Post Code 606118701
Phone Number 8478667846
Fax Number 8669545787

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 36123563
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

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