NPIMap

Organization Active NPI

Sports Medical Services, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mount Prospect, IL
National Provider Identifier
1447688080
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
042616989 Issued in IL
Legal business name
SPORTS MEDICAL SERVICES, S.C.
Doing business as
Midwest Integrated Physical Medicine
Practice address
500 W Central Rd
Ste. 103
Mount Prospect, IL 60056-2347
Phone
(847) 259-6605
Fax
(847) 259-8071
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Sean David Royer
Title
President
Phone
(847) 259-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 042616989 IL Primary

Addresses

Primary practice location

500 W Central Rd
Ste. 103
Mount Prospect, IL 60056-2347

Mailing address

500 W Central Rd
Ste. 103
Mount Prospect, IL 60056-2347
Phone (847) 259-6605

Other names 1

  • Midwest Integrated Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

500 W Central Rd
Ste 103
Mt Prospect, IL 60056
Phone (847) 259-6605

Practitioners & affiliated clinicians

Practitioners 2

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": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1447688080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD",
            "address_2": "STE. 103",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562347",
            "telephone_number": "847-259-6605",
            "fax_number": "847-259-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD",
            "address_2": "STE. 103",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562347",
            "telephone_number": "847-259-6605",
            "fax_number": "847-259-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICAL SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-259-6605"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "042616989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Integrated Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.