Provider Demographics
NPI:1972013530
Name:ARMITAGE ORTHOPEDICS AND PAIN LTD
Entity Type:Organization
Organization Name:ARMITAGE ORTHOPEDICS AND PAIN LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-767-5991
Mailing Address - Street 1:4367 S ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60632-2826
Mailing Address - Country:US
Mailing Address - Phone:773-376-0665
Mailing Address - Fax:773-435-6403
Practice Address - Street 1:3055 W ARMITAGE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3862
Practice Address - Country:US
Practice Address - Phone:773-772-3004
Practice Address - Fax:773-435-6403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361333492081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1346565991OtherTYPE 1 NPI
IL1073570198OtherTYPE 1 NPI - DR K