Active NPI
Sports and Occupational Health Consultants, LTD
- Sports Medicine (Family Medicine) Physician
- St Charles, IL
National Provider Identifier
1639130271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- SPORTS AND OCCUPATIONAL HEALTH CONSULTANTS, LTD
- Practice address
- 2000 W Main St
Suite L
St Charles, IL 60174-1775 - Phone
- (630) 803-6019
- Fax
- (866) 266-0504
- NPI assigned
- Mar 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vimal N Patel, D.O.
- Title
- President
- Phone
- (630) 803-6021
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | IL | Primary |
Addresses
Primary practice location
2000 W Main St
Suite L
St Charles, IL 60174-1775
Mailing address
2000 W Main St
Suite L
St Charles, IL 60174-1775
Phone (630) 803-6019
National Provider Directory
National Provider DirectoryLocations
2000 W Main St
Ste L
St Charles, IL 60174
Phone (630) 803-6019
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- St Charles, IL
- NPI 1750341061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639130271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 W MAIN ST",
"address_2": "SUITE L",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741775",
"telephone_number": "630-803-6019",
"fax_number": "866-266-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W MAIN ST",
"address_2": "SUITE L",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741775",
"telephone_number": "630-803-6019",
"fax_number": "866-266-0504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTS AND OCCUPATIONAL HEALTH CONSULTANTS, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "VIMAL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-803-6021",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- 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.