Woodfield Orthopaedics Sports Medicine LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WOODFIELD ORTHOPAEDICS SPORTS MEDICINE LTD

Practice address

12525 Regency Square Parkway
Suite F
Huntley, IL 60142-6500

Phone

(847) 301-7773

Fax

(847) 301-6506

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Roberta Baine

Title

Office Manager

Phone

(847) 301-7776

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Woodfield Orthopaedics Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woodfield Orthopaedics Sports Medicine

  • Clinic/Center
  • Elgin, IL
  • NPI 1952589632
  NPD tax ID

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1750569059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601934081",
            "telephone_number": "847-301-7773",
            "fax_number": "847-301-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 REGENCY SQUARE PARKWAY",
            "address_2": "SUITE F",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426500",
            "telephone_number": "847-301-7773",
            "fax_number": "847-301-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFIELD ORTHOPAEDICS SPORTS MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "BAINE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-301-7776"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RPOVIDER NUMBER",
            "identifier": "01635715",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Lee Wilk, RBT
• Michelle Dianne Willis, DO
• Katherine M Winner, APRN, CNP
• Samantha Wisniewski, PHARMD
• Woodfield Ortho Services, LLC
• Woodfield Orthotics & Prosthetics, LLC
• Woundcentrix, PLLC
• Tyler J Wylde
• Debbie Eileen Chua Yu-Tungol, MD
• Fawwad I Zaidi, M.D.

• Clinic/Center in Huntley, IL
• Providers in Huntley, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.