NPIMap

Organization Active NPI

Spine & Sports Physiatrists, S.C.

  • Physical Medicine & Rehabilitation Physician
  • Elmhurst, IL
National Provider Identifier
1215134382
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-088796 Issued in IL
Legal business name
SPINE & SPORTS PHYSIATRISTS, S.C.
Practice address
183 N Addison Ave
Elmhurst, IL 60126-2748
Phone
(630) 834-9991
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Lawrence W. Frank, M.D.
Title
President
Phone
(630) 834-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 036-088796 IL Primary

Addresses

Primary practice location

183 N Addison Ave
Elmhurst, IL 60126-2748

Mailing address

PO Box 52
Elmhurst, IL 60126-0052
Phone (630) 834-9991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1215134382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601260052",
            "telephone_number": "630-834-9991",
            "fax_number": "630-834-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262748",
            "telephone_number": "630-834-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORTS PHYSIATRISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-834-9991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-088796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.