NPIMap

Organization Active NPI

Midwest Sports Medicine & Orthopaedic Surgical Specialists LTD

  • Durable Medical Equipment & Medical Supplies
  • Elk Grove Village, IL
National Provider Identifier
1184834657
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIDWEST SPORTS MEDICINE & ORTHOPAEDIC SURGICAL SPECIALISTS LTD
Practice address
901 W Biesterfield Road
Suite 300
Elk Grove Village, IL 60007-7324
Phone
(847) 437-9889
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leticia Pedraza
Title
Administrator
Phone
(847) 437-9889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

901 W Biesterfield Road
Suite 300
Elk Grove Village, IL 60007-7324

Mailing address

901 W Biesterfield Road
Suite300
Elk Grove Village, IL 60007-7324
Phone (847) 437-9889

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Midwest Sports Medicine & Orthopaed901 Biesterfield Rd, Elk Grove Village, IL 60007-732484743798891222 Heat & Cold Applications|Canes and/or Crutches|Orthoses: Custom Fabricated|Surgical Dressings Accepts assignmentParticipating since Sep 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Midwest Sports Medicine Orthopedic Surgical Specialists LTD9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1184834657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W BIESTERFIELD ROAD",
            "address_2": "SUITE300",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077324",
            "telephone_number": "847-437-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W BIESTERFIELD ROAD",
            "address_2": "SUITE 300",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077324",
            "telephone_number": "847-437-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPORTS MEDICINE & ORTHOPAEDIC SURGICAL SPECIALISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "PEDRAZA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-437-9889"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.