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CHICAGO SPORTS MEDICINE LLC
NPI 1093107989
Family Medicine in Chicago, IL

Active since March 02, 2015
1130 W GRANVILLE AVE, CHICAGO, IL 60660(773) 784-6682(773) 784-5735 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chicago Sports Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICAGO SPORTS MEDICINE LLC (NPI 1093107989) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since March 2015. The organization lists Andrew Gard, Owner, as its authorized official.

NPPES Registry Identity

NPI1093107989
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHICAGO SPORTS MEDICINE LLC
Location Address1130 W GRANVILLE AVEChicago, IL 60660-2013
Mailing Address1130 W Granville AveChicago, IL 60660-2013 · (773) 784-6682 · Fax (773) 784-5735
Phone(773) 784-6682
Fax(773) 784-5735
Organization SubpartNo
Authorized OfficialAndrew GardOwner · (773) 784-6682
Enumeration DateMarch 2, 2015
✔ NPI 1093107989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1130 W GRANVILLE AVE, Chicago, IL 60660
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS SARA ELIZABETH ADAMS ANP
Nurse Practitioner (Adult Health)
1130 W GRANVILLE AVE
CHICAGO, IL 60660
Cook County (773) 784-6682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chicago Sports Medicine LLC's NPI number?

The NPI number for Chicago Sports Medicine LLC is 1093107989. It was assigned to this organization in the NPPES registry on March 2, 2015.

Where is Chicago Sports Medicine LLC located?

Chicago Sports Medicine LLC is located at 1130 W Granville Ave, Chicago, IL 60660. The listed phone number is (773) 784-6682.

What is Chicago Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Chicago Sports Medicine LLC was last updated on March 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.