ORTHO SPINE SURGICAL LLC – NPI #1386258226
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

ORTHO SPINE SURGICAL LLC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1386258226 to ORTHO SPINE SURGICAL LLC on September 08, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ORTHO SPINE SURGICAL LLC below.

NPI Profile for
ORTHO SPINE SURGICAL LLC

NPI Number
1386258226
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ORTHO SPINE SURGICAL LLC
Primary location
1925 E 95TH ST STE 220
CHICAGO, IL 60617-4710
Phone: (773) 761-0500 Fax: (773) 761-1355
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOHAMED SIRAJUDEEN
PRESIDENT
Phone: (773) 761-0500
Updated
Certification Date
Aug 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://www.sisfirst.com/
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1925 E 95TH ST STE 220,
CHICAGO, IL 77025-1669