Organization Active NPI

Sports and Occupational Health Consultants, LTD

  • Sports Medicine (Family Medicine) Physician
  • St Charles, IL
National Provider Identifier
1639130271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vimal N Patel, D.O.NPI 1750341061
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)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.