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NORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER LTD. NPI 1316983315


NPI Information

NPI: 1316983315
Provider Name: NORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LTD.

Doing Business As: ILLINOIS SPORTS MEDICINE AND ORTHOPAEDIC CENTERS

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
1714 MILWAUKEE AVE
GLENVIEW, IL
ZIP 60025
Phone: (847) 699-6810
Get Directions

NORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LTD. is a sports medicine orthopaedic surgery in Glenview, IL. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. NORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LTD. NPI is 1316983315. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Illinois Sports Medicine And Orthopaedic Centers.

The provider's business location address is:

1714 MILWAUKEE AVE
GLENVIEW, IL
ZIP 60025-441
Phone: (847) 699-6810
Fax: (847) 699-2854

The provider's authorized official is Chadwick Prodromos .
The authorized official title is President and has the following contact phone number (847) 699-6810.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 6/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2207XX0005XOrthopaedic SurgerySports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200030424OTHERILLINOISRAILROAD MEDICARE
24468030001MEDICARE NSCILLINOIS
3131650500OTHERILLINOISOWCP FOR DEPT OF LABOR
41618365OTHERILLINOISBC/BS
5209723MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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