Illinois Sports Medicine & Orthopedic Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7003118 Issued in IL

Legal business name

ILLINOIS SPORTS MEDICINE & ORTHOPEDIC SURGERY CENTER, LLC

Practice address

9000 Waukegan Rd
Suite 120
Morton Grove, IL 60053-2127

Phone

(847) 213-5444

Fax

(847) 213-5499

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Leticia A Ramirez, RN, MBANPI 1922837160

Title

Administrator

Phone

(773) 762-9359

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Illinois Sports Medicine and Orthopedic Surgery CenterCCN 14C0001131

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Illinois Bone and Joint Institute, LLC

  • Physical Therapist
  • Gurnee, IL
  • NPI 1962635490

  Member Of

  NPD member

Practitioners 2

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.

• Leticia A Ramirez, RN, BSN, MBA

  • Orthopedic Registered Nurse
  • Morton Grove, IL
  • NPI 1922837160
  NPD Authorized official
• Henry Kurzydlowski, M.D.

  • Anesthesiology Physician
  • Niles, IL
  • NPI 1073570198
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1710037452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD STE 120",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532128",
            "telephone_number": "847-213-5444",
            "fax_number": "847-213-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD",
            "address_2": "SUITE 120",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532127",
            "telephone_number": "847-213-5444",
            "fax_number": "847-213-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS SPORTS MEDICINE & ORTHOPEDIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-762-9359",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7003118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7003118",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John G. Ifantis, D.D.S., P.C.
• Igor Rechitsky, MD Neurologist LTD.
• Illinois Bone and Joint Institute
• Illinois Bone and Joint Institute, LLC
• Illinois Bone and Joint Institute, LLC
• Elizabeth Owole Ilo
• Irina Bolotnikov DDS PC
• Nusaybah Ismail
• Marko J Jachtorowycz, M.D.
• Julie Marie Jacobs, APN-CNP

• Ambulatory Surgical Clinic/Center in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.