Specialty Medical Services

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPECIALTY MEDICAL SERVICES

Practice address

479 E Business Center Dr
Suite 108
Mount Prospect, IL 60056-6037

Phone

(847) 390-8939

Fax

(847) 390-8937

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael D. Hoffman, COF

Title

Owner

Phone

(847) 390-8939

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497952048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 E BUSINESS CENTER DR",
            "address_2": "SUITE 108",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566037",
            "telephone_number": "847-390-8939",
            "fax_number": "847-390-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 E BUSINESS CENTER DR",
            "address_2": "SUITE 108",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566037",
            "telephone_number": "847-390-8939",
            "fax_number": "847-390-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-390-8939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COF"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "01623063",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC ACCREDIDATION NUMBER",
            "identifier": "COF00453",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shen Song, MD
• Soo O Park
• Sorvein Prieto,M.D
• Shelby Soumar, MSBP - BCBA
• Victoria Sous, LAC
• Dennis J Spinazze, DDS
• Mark Angelo Spinazze, DDS
• Russell P Spinazze, DDS
• Lisa Marie Sporer, LCSW
• Sports Medical Services, S.C.

• Prosthetic/Orthotic Supplier in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.