PHYSICIANS SPORTS AND INJURY CENTER (NPI# 1043750938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043750938 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS SPORTS AND INJURY CENTER |
| Practice Address |
777 Oakmont Ln Ste 1000 Westmont IL 60559-5503 |
| Practice Telephone | 6303232225 |
| Mailing Telephone | 6303232225 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | HEATHER PETERSON (OFFICE MANAGERT) |
| Authorized Official Telephone | 6303232225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.013069 | IL | Chiropractic Providers |
| Street Address |
777 OAKMONT LN STE 1000 |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356628077 | Mark May | Chiropractor | 776 Burr Oak Dr, Westmont, IL 60559-1122 | 2011-11-09 |
| 1891013488 | Amey Jagdish Muzumdar | Chiropractor | 850 N Cass Ave, Suite 101, Westmont, IL 60559-1777 | 2010-05-07 |
| 1881790061 | Allied Chiropractic Physicians, P.C. | Chiropractor | 124 Westend Ave, Westmont, IL 60559-1642 | 2006-09-15 |
| 1457463945 | Stuart D Holland | Chiropractor | 315 W 63rd St, Westmont, IL 60559 | 2006-08-31 |
| 1518971886 | Scott Fonda | Chiropractor | 825 N Cass Ave, Suite 104, Westmont, IL 60559-1132 | 2006-07-29 |
| 1447286299 | Christian T Cote | Chiropractor | 340-a Haddon Ave, Westmont, NJ 08108 | 2006-06-23 |
| 1235165036 | Christian T Cote | Chiropractor | 340-a Haddon Avenue, Westmont, NJ 08108 | 2006-06-23 |
| 1760429351 | Shari L Saluck | Chiropractor | 340 A Haddon Ave., Westmont, NJ 08108 | 2006-06-01 |
| 1669464996 | Margaret E Brownlie | Chiropractor | 23 Melrose St, Westmont, IL 60559-5109 | 2005-08-23 |
| 1992707970 | Darrell Wehrend | Chiropractor | 777 Oakmont Ln, Suite 1000, Westmont, IL 60559-5511 | 2005-08-10 |
| Find all providers in WESTMONT | ||||
Please comment or provide details below to improve the information on PHYSICIANS SPORTS AND INJURY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.