WOODFIELD ORTHOPAEDICS SPORTS MEDICINE (NPI# 1952589632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952589632 |
Entity Type | Organization |
Organization Name | WOODFIELD ORTHOPAEDICS SPORTS MEDICINE |
Practice Address |
750 Fletcher Dr Suite 305 Elgin IL 60123-4703 |
Mailing Address |
1102 S Roselle Rd Schaumburg IL 60193-4081 |
Practice Telephone | 8473017773 |
Practice Fax Number | 8473016506 |
Mailing Telephone | 8473017773 |
Mailing Fax Number | 8473016506 |
Enumeration Date | 2008-02-05 |
Last Update Date | 2008-02-05 |
Authorized Official Name | ROBERTA BAINE (OFFICE MANAGER) |
Authorized Official Telephone | 8473017773 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | IL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS PROVIDER NUMBER | 01635715 | 01 |
Street Address |
750 FLETCHER DR SUITE 305 |
City | ELGIN |
State | IL |
Zip Code | 60123-4703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518946391 | Edwin Paul Patrick | Chiropractor | 750 Fletcher Dr, Suite 304, Elgin, IL 60123-4756 | 2006-01-11 |
1962863951 | Felicia Chu D.d.s., P.C. | Dentist | 750 Fletcher Dr, Suite 302, Elgin, IL 60123-4703 | 2016-03-17 |
1952679599 | Primisha Phramacy LLC | Pharmacy | 750 Fletcher Dr, Ste 103, Elgin, IL 60123-4703 | 2011-12-11 |
1831339373 | Integrated Ancillary Services | Clinic/Center | 750 Fletcher Dr, Suite 105, Elgin, IL 60123-4703 | 2009-02-24 |
1578762324 | Michael E Jung | Chiropractor | 750 Fletcher Dr, 304, Elgin, IL 60123-4703 | 2007-07-12 |
1669691358 | Mcgowan Chiropractic Clinic Ltd. | Chiropractor | 750 Fletcher Dr, Suite 304, Elgin, IL 60123-4703 | 2007-04-24 |
1942349006 | Quadri Family Practice, Sc | Family Medicine | 750 Fletcher Dr, Suite 305, Elgin, IL 60123-4703 | 2007-02-05 |
1619020039 | Divyang A Joshi Md PC | Internal Medicine | 750 Fletcher Dr, Suite 200, Elgin, IL 60123-4703 | 2007-01-19 |
1972670172 | Mcmurry Ltd. | Chiropractor | 750 Fletcher Dr, Suite 304, Elgin, IL 60123-4703 | 2006-11-30 |
1245307289 | Syed J Quadri | Family Medicine | 750 Fletcher Dr, Suite 305, Elgin, IL 60123-4703 | 2006-11-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
1932157492 | Sherman Hospital | Clinic/Center | 2320 Royal Blvd, Elgin, IL 60123-4717 | 2006-05-05 |
1972058568 | Bhc Streamwood Hospital Inc | Clinic/Center | 1235 Braeburn Dr, Elgin, IL 60123-1458 | 2016-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
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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.