Organization · Type 2 NPI

Gold Coast Orthopaedic and Spine Surgery SC

Medical Specialty Clinic/Center · Chicago, IL

NPI number 1124283130 Active

Practice location

7200 N. Western Ave, 2nd Floor
Chicago, IL 60645

Call (312) 654-8800 Map

Fax (312) 654-8801

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X016004364 (IL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1124283130

Gold Coast Orthopaedic and Spine Surgery SC's National Provider Identifier is 1124283130, issued on Jul 20, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Chicago, IL. The record was last updated on Jan 10, 2018.