OrganizationActive
Midland Orthopedic Associates PLLC
NPI 1104863638 · Orthopaedic Surgery Physician · Chicago, IL
Provider details
- NPI number
- 1104863638
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Goggin, Chief Operating Officer(312) 842-4600
- License
- 042007805 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2850 S Wabash Ave
Suite 100
Chicago, IL 60616-2955
Phone: (312) 842-4600
Fax: (312) 842-8694
Street-level locationGet directions
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other names (DBA / former)
- Former legal business name
- Midland Othopedic Associates S C
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.