ELITE ORTHOPAEDICS AND SPORTS MEDICINE, LLC (NPI# 1356780530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356780530 |
| Entity Type | Organization |
| Organization Name | ELITE ORTHOPAEDICS AND SPORTS MEDICINE, LLC |
| Practice Address |
2875 W 19th St 2nd Floor - Physician Center (north Suite) Chicago IL 60623-3501 |
| Mailing Address |
6524 W Archer Ave Chicago IL 60638-2400 |
| Practice Telephone | 7732291414 |
| Mailing Telephone | 7732291414 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | DR. CHANDRASEKHAR SOMPALLI (PHYSICIAN / OWNER) |
| Authorized Official Telephone | 7732291414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036094752 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2875 W 19TH ST 2ND FLOOR - PHYSICIAN CENTER (NORTH SUITE) |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723999 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2005-07-14 |
| 1922658772 | James Yuanxin Huang | Physical Therapist | 2875 W 19th St, Rehab Department, Chicago, IL 60623 | 2019-09-13 |
| 1033768726 | Christine Leung | Occupational Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
| 1477102101 | Anna Ruth Alexander | Physical Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
| 1154893063 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-18 |
| 1225509763 | Rashawn Alisia Sims | Physician Assistant | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-10 |
| 1619459302 | Saint Anthony Hospital | Clinical Medical Laboratory | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-30 |
| 1619456423 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-13 |
| 1245719327 | Bruni Hirsch | Advanced Practice Midwife | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-09 |
| 1972006229 | Katherine De Los Trinos-ocampo | Nurse Practitioner | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048395 | Dr Ouilife LLC | Orthopaedic Surgery | 640 S Federal St Apt 410, Chicago, IL 60605-1800 | 2020-03-18 |
| 1568851251 | Benjamin Scott Kester | Orthopaedic Surgery | 1725 W Harrison St Ste Rush, Chicago, IL 60612-3841 | 2015-01-18 |
| 1568419463 | Mark K. Bowen | Orthopaedic Surgery | 680 N Lake Shore Dr Ste 924, Chicago, IL 60611 | 2006-05-27 |
| 1225677404 | Mary Kathleen Walsh | Orthopaedic Surgery | 1611 W Harrison St, Chicago, IL 60612-4861 | 2020-01-05 |
| 1902367642 | Sebastian Ko | Orthopaedic Surgery | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-03-26 |
| 1073080909 | Kierra La Shawn Bruno-rodgers | Orthopaedic Surgery | 712 N Dearborn St, Chicago, IL 60654-3846 | 2018-10-29 |
| 1124505508 | Robert Morris University Illinois | Orthopaedic Surgery | 401 S State St, Chicago, IL 60605-1229 | 2018-07-27 |
| 1992220404 | Chicago Sports Medicine Institute | Orthopaedic Surgery | 875 N Dearborn St, Chicago, IL 60610-7377 | 2017-08-04 |
| 1417330242 | Nicholas Anthony Trasolini | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2015-06-29 |
| 1679960843 | John Lloyd Fritch | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2015-04-24 |
| Find all providers in CHICAGO | ||||
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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.