Organization Active NPI

All Sports Medicine

  • Preferred Provider Organization
  • Willowbrook, IL
National Provider Identifier
1669657995
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
038-009491 Issued in IL
Legal business name
ALL SPORTS MEDICINE
Practice address
7850 S Quincy St
Willowbrook, IL 60527
Phone
(630) 515-2701
Fax
(630) 428-4305
NPI assigned
Jan 6, 2008
Last updated
Mar 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Dr. Terry James Smith, D.C.NPI 1609862309
Title
Owner
Phone
(630) 640-9073

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
Preferred Provider Organization 305R00000X 038-009491 IL Primary

Addresses

Primary practice location

7850 S Quincy St
Willowbrook, IL 60527

Mailing address

2 South 239 Rte 59
Warrenville, IL 60555
Phone (630) 515-2701

National Provider Directory

National Provider Directory

Locations

7850 S Quincy St
Willowbrook, IL 60527
Phone (630) 515-2701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1669657995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH 239 RTE 59",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "60555",
            "telephone_number": "630-515-2701",
            "fax_number": "630-428-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 S QUINCY ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-515-2701",
            "fax_number": "630-428-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-640-9073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "038-009491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.