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CHITOWN ORTHOPAEDICS & SPORTS MEDICINE S.C.
NPI 1174068944
Orthopaedic Surgery in Chicago, IL

Active since January 03, 2017
4801 W PETERSON AVE STE 606, CHICAGO, IL 60646(773) 829-4700(773) 437-8446 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2020, Apr 17, 2017, Jan 4, 2017 (3 updates tracked since 2017).

About Chitown Orthopaedics & Sports Medicine S.c. NPPES

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

CHITOWN ORTHOPAEDICS & SPORTS MEDICINE S.C. (NPI 1174068944) is a healthcare organization registered as an orthopaedic surgery in Chicago, Illinois and active in the NPI registry since January 2017. The organization lists Edward Forman, President, as its authorized official.

NPPES Registry Identity

NPI1174068944
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCHITOWN ORTHOPAEDICS & SPORTS MEDICINE S.C.
Location Address4801 W PETERSON AVE STE 606Chicago, IL 60646-5728
Mailing AddressPo Box 8497Northfield, IL 60093-8497
Phone(773) 829-4700
Fax(773) 437-8446
Organization SubpartNo
Authorized OfficialEdward FormanPresident · (773) 829-4700
Enumeration DateJanuary 3, 2017
Last NPPES UpdateFebruary 19, 20203 updates tracked since enumeration
✔ NPI 1174068944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036095583
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4801 W PETERSON AVE STE 606, Chicago, IL 60646
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chitown Orthopaedics & Sports Medicine S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Chitown Orthopaedics & Sports Medicine S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Edward Forman, DO
Orthopedic Surgery
NPI 1639122955
4801 W PETERSON AVE STE 606
Chicago, IL 60646
(773) 829-4700
✔ PECOS✔ Accepts MedicareSame address
Mary Delanie Aguilar, RPT
Physical Therapist in Private Practice
NPI 1881047660
13 STACY CT
Glenview, IL 60025
(561) 251-3597
✔ Accepts Medicare5.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chitown Orthopaedics & Sports Medicine S.C.'s NPI number?

The NPI number for Chitown Orthopaedics & Sports Medicine S.C. is 1174068944. It was assigned to this organization in the NPPES registry on January 3, 2017.

Where is Chitown Orthopaedics & Sports Medicine S.C. located?

Chitown Orthopaedics & Sports Medicine S.C. is located at 4801 W Peterson Ave Ste 606, Chicago, IL 60646. The listed phone number is (773) 829-4700.

What is Chitown Orthopaedics & Sports Medicine S.C.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Chitown Orthopaedics & Sports Medicine S.C. enrolled in Medicare?

Yes. Chitown Orthopaedics & Sports Medicine S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chitown Orthopaedics & Sports Medicine S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Chitown Orthopaedics & Sports Medicine S.C., in Orthopedic Surgery and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chitown Orthopaedics & Sports Medicine S.C. was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.