Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicago Sports Medicine LLC

Organization Family Medicine Physician · NPI 1093107989

Chicago Sports Medicine LLC is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 W Granville Ave
Chicago, IL 60660-2013
Phone: (773) 784-6682
Fax: (773) 784-5735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1093107989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Gard — Owner · (773) 784-6682
NPI enumeratedMarch 2, 2015
Last updated in NPPESMarch 2, 2015
Mailing address1130 W Granville Ave, Chicago, IL 60660-2013

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