Sports Medicine Solutions, S.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

038007499 Issued in IL

Legal business name

SPORTS MEDICINE SOLUTIONS, S.C.

Practice address

825 N Cass Ave
Suite 104
Westmont, IL 60559-1132

Phone

(630) 522-4060

NPI assigned

Jan 18, 2012

Last updated

Jan 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Fonda

Title

President

Phone

(312) 543-3544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1265703631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 LAKE ST",
            "address_2": "F3",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CASS AVE",
            "address_2": "SUITE 104",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591132",
            "telephone_number": "630-522-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE SOLUTIONS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "FONDA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-543-3544",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038007499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monika Spokas, OD
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• Anna A Stanislaus, M.D.
• Theodore Lyons Stern, MD
• Charles David Stevens, LPC - INTERN
• Sarah Elizabeth Stitt, LCPC

• Orthopedic Chiropractor in Westmont, IL
• Providers in Westmont, IL by specialty
• Orthopedic Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.