KOMPREHENSIVE PRIMARY CARE SPORTS & MUSCULOSKELETAL MEDICINE S.C. (NPI# 1285966440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285966440 |
| Entity Type | Organization |
| Organization Name | KOMPREHENSIVE PRIMARY CARE SPORTS & MUSCULOSKELETAL MEDICINE S.C. |
| Practice Address |
2813 W 147th St Posen IL 60469-1516 |
| Mailing Address |
845 E 40th St Chicago IL 60653-2444 |
| Practice Telephone | 7083969777 |
| Practice Fax Number | 7083969732 |
| Mailing Telephone | 3124203445 |
| Mailing Fax Number | 7735363263 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | DR. MICHAEL G WARD (PRESIDENT) |
| Authorized Official Telephone | 3124203445 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036114281 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2813 W 147TH ST |
| City | POSEN |
| State | IL |
| Zip Code | 60469-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386830040 | Heal-thy People Family Care Center Ltd | Clinic/Center | 2813 W 147th St, Posen, IL 60469 | 2007-09-17 |
| 1013258110 | Latanya Morris | Physician Assistant | 2813 W 147th St, Posen, IL 60469-1516 | 2013-03-14 |
| 1679898373 | Heal-thy People Ministries Inc. | Clinic/Center | 2813 W 147th St, Posen, IL 60469-1516 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710221692 | Linda Jean Reisener | Occupational Therapy Assistant | 14830 Whipple St., Posen, IL 60469 | 2012-11-16 |
| 1962792317 | Tasha Sims | Occupational Therapy Assistant | 14504 S. Richmond Ave, #3, Posen, IL 60469 | 2011-04-19 |
| 1245864578 | Teanna Shambrae Ramirez | Social Worker | 14233 S Palmer Ave, Posen, IL 60469-1009 | 2020-02-25 |
| 1548305667 | Posen Robbins El Sch Dist 1435 | Clinic/Center | 14025 S Harrison Ave, Posen, IL 60469-1022 | 2007-02-20 |
| 1710440003 | Raquilla Williams | Developmental Therapist | 14500 S Richmond Ave Apt 3, Posen, IL 60469-1133 | 2019-04-12 |
| 1740709450 | Danielle Nicole Gilmore | Speech-Language Pathologist | 14545 S California Ave, Posen, IL 60469-1201 | 2017-09-13 |
| 1558424903 | N J Amin | Family Medicine | 2590 W Walter Zimny Dr, Posen, IL 60469-1247 | 2006-12-18 |
| 1649211954 | Village of Posen | Ambulance | 2440 W Walter Zimny Dr, Posen, IL 60469-1344 | 2006-06-09 |
| 1336154517 | Walgreen Co | Pharmacy | 3145 W 147th St, Posen, IL 60469-1438 | 2006-07-29 |
| 1649877895 | Fedaa Ballouta | Pharmacist | 3145 W 147th St, Posen, IL 60469-1438 | 2020-10-01 |
| Find all providers in zip 60469 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1821438185 | Marianne Hana | Family Medicine | 60 Orland Square Dr Ste 101, Orland Park, IL 60462 | 2013-07-01 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1477734150 | Sashil Singh Kapur | Family Medicine | 415 N Lasalle Street, Suite 100, Chicago, IL 60654 | 2007-11-21 |
| 1659562585 | Ketan R Mody | Family Medicine | 760 Pasquinelli Dr Ste 304, Westmont, IL 60559-1290 | 2007-08-06 |
| 1285841544 | Arthur Aragones | Family Medicine | 135 E Irving Park Rd, Streamwood, IL 60107-2950 | 2007-05-17 |
| 1003028150 | Jill Wirth-rissman | Family Medicine | 205 N Cummings Ln, Washington, IL 61571-2181 | 2007-05-03 |
| 1497838676 | Christopher Eric Cieurzo | Family Medicine | 510 Pow Mia St Bldg P40, Scott Afb, IL 62225-5020 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
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| 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.