Core Orthopedics & Sports Medicine LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CORE ORTHOPEDICS & SPORTS MEDICINE LLC

Practice address

2380 Lakewood Blvd
Hoffman Estates, IL 60192-2025

Phone

(847) 690-1776

Fax

(847) 690-1777

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Daniel Kuesis, M.D.NPI 1679573240

Title

Owner

Phone

(847) 690-1776

Specialties & licenses 1

Addresses

Other names 1

• Core Imaging Center, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Core Orthopedics & Sports Medicine LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Elk Grove Village, IL
  • NPI 1093918161

  1850482712

  Same PAC ID

Practitioners 1

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

• Daniel T Kuesis, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Elk Grove Village, IL
  • NPI 1679573240
  NPD (past) Authorized official

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1477898716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 LAKEWOOD BLVD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601922025",
            "telephone_number": "847-690-1776",
            "fax_number": "847-690-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 LAKEWOOD BLVD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601922025",
            "telephone_number": "847-690-1776",
            "fax_number": "847-690-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ORTHOPEDICS & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "KUESIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-690-1776",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Imaging Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerry Lemke Conneely, M.D.
• Chiragkumar Pravinbhai Contractor
• Cook County Department of Public Health
• Beth Cook, LCSW
• Michael David Cook, LCPC
• Deborah A. Cormier, LCPC
• Laisha Jazmin Cornejo
• Kristine Marie Corrado
• Alycia Corral, PA-C
• Mayra Correa

• Durable Medical Equipment & Medical Supplies in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.