SEAN DANIEL ODELL (NPI# 1518981612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518981612 |
| Entity Type | Individual |
| Full Name | SEAN DANIEL ODELL |
| Credential | MD |
| Practice Address |
375 S Roselle Rd Schaumburg IL 60193-5544 |
| Mailing Address |
Po Box 807 Elk Grove Village IL 60009-0807 |
| Practice Telephone | 8474379889 |
| Practice Fax Number | 8479441250 |
| Mailing Telephone | 8474379889 |
| Mailing Fax Number | 8479441250 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
36112610 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 36112610 | 01 |
| IL | MEDICARE ID-TYPE UNSPECIF | 212020 | 01 |
| OH | 2570089 | 05 | |
| IL | MEDICARE RAILROAD | P00376430 | 01 |
| IL | 036112610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639434616 | Sean Odell | Counselor | 100 North Academy Ave, Danville, PA 17822-1335 | 2012-07-06 |
| Street Address |
375 S ROSELLE RD |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60193-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609087311 | Midwest Sports Medicine & Orthopaedic Surgical Specialists, Ltd. | Durable Medical Equipment & Medical Supplies | 375 S Roselle Rd, Schaumburg, IL 60193-5544 | 2007-05-24 |
| 1356551964 | Midwest Sports Medicine & Orthopaedic Surgical Specialists, Ltd. | Clinic/Center | 375 S Roselle Rd, Schaumburg, IL 60193-5544 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546203 | Golden Corridor Family Young Men's Christian Association | Health Educator | 300 W Wise Road, Schaumburg, IL 60193 | 2018-01-12 |
| 1821516469 | Jill Leann Kissinger | Nurse Practitioner | 1227 Cranbrook Dr, Schaumburg, IL 60193 | 2017-09-05 |
| 1265981021 | Fresenius Medical Care Schaumburg, LLC | Clinic/Center | 815 W Wise Rd, Schaumburg, IL 60193 | 2016-09-22 |
| 1316323157 | Jasmine Said | Optometrist | 2834 Adams Ct., Schaumburg, IL 60193 | 2015-08-04 |
| 1215368287 | Daryl B. Wever Corp | Podiatrist | 455 S Roselle Rd Ste 101, Schaumburg, IL 60193 | 2013-12-02 |
| 1164764668 | Pediatric Healthlink, S.c. | Pediatrics | 455 S. Roselle Road, Suite 109, Schaumburg, IL 60193 | 2013-03-22 |
| 1407154602 | Physician Office | Internal Medicine | 321 South Barrington Road, Schaumburg, IL 60193 | 2011-03-11 |
| 1154552016 | Crystal Clear Eye Care Clinic | Preferred Provider Organization | 1760 Wise, Schaumberg, IL 60193 | 2009-07-27 |
| 1437304458 | Frank J. Honig | Dentist | 129 S. Roselle Rd., 201, Schaumburg, IL 60193 | 2008-11-18 |
| 1902059017 | Today's Family Dentistry | Dentist | 1752 W. Wise Rd., Schaunburg, IL 60193 | 2008-11-03 |
| Find all providers in zip 60193 | ||||
| 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 |
| 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 |
| 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 |
| 1518943018 | Jeffrey A. Murray | Orthopaedic Surgery | 555 Biesterfield Road, Elk Grove Village, IL 60007-3306 | 2005-12-16 |
| Find all providers with the same taxonomy | ||||
| City | SCHAUMBURG |
| Zip Code | 60193 |
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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.