DUPAGE SPORTS INJURY CENTER, LTD (NPI# 1518913508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518913508 |
| Entity Type | Organization |
| Organization Name | DUPAGE SPORTS INJURY CENTER, LTD |
| Practice Address |
1200 S York Rd Suite 4250 Elmhurst IL 60126-5626 |
| Practice Telephone | 6307588820 |
| Mailing Telephone | 6307588820 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | RICHARD A. BRASH (PRES) |
| Authorized Official Telephone | 6307588820 |
| 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 |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1200 S YORK RD SUITE 4250 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085384 | Elmhurst Outpatient Surgery Center LLC | Clinic/Center | 1200 S York Rd, Ste 1400, Elmhurst, IL 60126-5633 | 2005-06-28 |
| 1730606583 | Leann R Rushing | Physician Assistant | 1200 S York Rd, Sutie 2000, Elmhurst, IL 60126 | 2017-08-23 |
| 1518211325 | Chicago Neurological Surgery P.C. | Neurological Surgery | 1200 S York Rd, Suite 4280, Elmhurst, IL 60126-5626 | 2012-10-31 |
| 1649522582 | Jennifer L Specht | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1972855815 | Ilea K Pavel | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1619260304 | Maribeth Maney | Nurse Practitioner | 1200 S York Rd, Suite 3100, Elmhurst, IL 60126-5626 | 2011-05-27 |
| 1508164898 | Hinsdale Orthopaedic Associates Sc | Specialist | 1200 S York Rd, Suite 4110, Elmhurst, IL 60126-5626 | 2011-03-10 |
| 1619283264 | Midwest Hand Surgery Sc | Clinic/Center | 1200 S York Rd, Suite 3200, Elmhurst, IL 60126-5626 | 2010-08-20 |
| 1194039669 | Michelle Jackowski | Advanced Practice Midwife | 1200 S York Rd, #4120, Elmhurst, IL 60126 | 2010-07-27 |
| 1952632101 | Rama R Dandamudi Md Sc | Surgery | 1200 S York Rd, 4250, Elmhurst, IL 60126-5626 | 2010-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| 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 |
|---|---|---|---|---|
| 1821025289 | G & T Orthopaedics and Sports Medicine | Orthopaedic Surgery | 1200 S York Rd, Suite 4190, Elmhurst, IL 60126-5626 | 2006-06-28 |
| 1073550109 | Richard A Brash | Orthopaedic Surgery | 1200 S York Rd, Suite 4250, Elmhurst, IL 60126-5626 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048395 | Dr Ouilife LLC | Orthopaedic Surgery | 640 S Federal St Apt 410, Chicago, IL 60605-1800 | 2020-03-18 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1568851251 | Benjamin Scott Kester | Orthopaedic Surgery | 1725 W Harrison St Ste Rush, Chicago, IL 60612-3841 | 2015-01-18 |
| 1609041565 | Sheryl Lynn Lipnick | Orthopaedic Surgery | 1585 N. Barrington Rd Ste 101, Drs. Bldg. 2, Hoffman Estates, IL 60169-5019 | 2008-04-22 |
| 1295937555 | Gregory Lamar Primus | Orthopaedic Surgery | 7543 183rd St, Tinley Park, IL 60477-6208 | 2007-05-31 |
| 1154454635 | Benjamin Domb | Orthopaedic Surgery | 999 E Touhy Ave Ste 450, Des Plaines, IL 60018-2748 | 2007-03-13 |
| 1518981612 | Sean Daniel Odell | Orthopaedic Surgery | 375 S Roselle Rd, Schaumburg, IL 60193-5544 | 2006-07-26 |
| 1568419463 | Mark K. Bowen | Orthopaedic Surgery | 680 N Lake Shore Dr Ste 924, Chicago, IL 60611 | 2006-05-27 |
| 1639146103 | Jean Benoit Houle | Orthopaedic Surgery | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-03-03 |
| 1093792277 | Scott Eric Urch | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2005-12-28 |
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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.