OrganizationActive
Shriners Hospitals for Children
NPI 1871930693 · Pediatric Orthopaedic Surgery Physician · Chicago, IL
Provider details
- NPI number
- 1871930693
- Entity type
- Organization
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Gantt, President(218) 281-0300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2211 N Oak Park Ave
Chicago, IL 60707-3351
Phone: (773) 385-5400
Fax: (773) 385-5453
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8500
Philadelphia, PA 19178-7642
Other names (DBA / former)
- Other name
- Shriners Hospitals for Children Professional Services
- Other name
- Shriners Hospitals for Children Professional Services
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2023-01-13
- Certified
- 2023-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.