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

Chitown Orthopaedics & Sports Medicine SC

Organization Orthopaedic Surgery Physician · NPI 1174068944

Chitown Orthopaedics & Sports Medicine SC is an Orthopaedic Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

4801 W Peterson Ave Ste 606
Chicago, IL 60646-5728
Phone: (773) 829-4700
Fax: (773) 437-8446
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036095583 (IL)

Record details

NPI number1174068944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Forman — President · (773) 829-4700
NPI enumeratedJanuary 3, 2017
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing addressPo Box 8497, Northfield, IL 60093-8497

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