Midwest Sports Medicine Institute

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036-111005 Issued in IL

Legal business name

MIDWEST SPORTS MEDICINE INSTITUTE

Practice address

24600 W 127TH St BLDG B Suite 240
Plainfield, IL 60585-9502

Phone

(815) 267-8825

Fax

(815) 267-8840

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Benson

Title

Account Manager

Phone

(815) 267-8825

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Locations

Practitioners 7

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.

• David Michael Burt, MD

  • Orthopaedic Surgery Physician
  • Plainfield, IL
  • NPI 1508875048

  IN

  Medicare reassignment
• Yazan Alghalith, MD

  • Dermatology Physician
  • Schaumburg, IL
  • NPI 1255781365
  NPD (past)
• Emily Ann Berry, PA-C

  • Physician Assistant
  • Carbondale, IL
  • NPI 1053290114
  NPD (past)
• Tripti Burt, MD SC

  • Plastic and Reconstructive Surgery Physician
  • Morris, IL
  • NPI 1336213032
  NPD (past)
• Nora Ibrahim, MD

  • Otolaryngology Physician
  • Plainfield, IL
  • NPI 1235666546
  NPD (past)
• Sydney Michelle Kahl, PA-C

  • Physician Assistant
  • Arlington Heights, IL
  • NPI 1912622309
  NPD (past)
• Neena Will, M.D.

  • Specialist
  • Plainfield, IL
  • NPI 1124284203
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1780885343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST BLDG B SUITE 240",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859509",
            "telephone_number": "815-267-8825",
            "fax_number": "815-267-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST BLDG B SUITE 240",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859502",
            "telephone_number": "815-267-8825",
            "fax_number": "815-267-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6860 N Frontage Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605277828",
            "country_code": "US",
            "telephone_number": "630-455-2000",
            "fax_number": "630-455-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST SPORTS MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "815-267-8825"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-111005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9932533",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Meyn
• Aimee Micetic, MA, LCPC
• Andrew Joseph Michalowitz, D.O.
• Midwest Health Solutions Inc
• Midwest Professional Counselors, LLC
• Rachel Z Mika, PT
• Kari Mild, M.C.D., CF-SLP
• Angela Kristine Miller, LCPC
• Andrea Mills
• Mind Lodge

• Orthopaedic Surgery Physician in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.