Chitown Orthopaedics & Sports Medicine S.c.

NPI #1174068944 in Chicago, Illinois

Provider Information

NPI Number: 1174068944
Entity Type: Organization
Organization Name: Chitown Orthopaedics & Sports Medicine S.c.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jan 3, 2017
Last Updated: Feb 19, 2020

Practice Location

Address: 4801 W PETERSON AVE STE 606
City: Chicago
State: Illinois
ZIP Code: 60646-5728
Phone: (773) 829-4700

Authorized Official

Name: DR. EDWARD FORMAN, D.O.
Title: PRESIDENT
Phone: (773) 829-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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