NPIMap

Organization Active NPI

Midwest Sports Medicine & Orthopedic Surgical Specialist LTD

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Elk Grove Village, IL
National Provider Identifier
1801005376
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
MIDWEST SPORTS MEDICINE & ORTHOPEDIC SURGICAL SPECIALIST LTD
Practice address
901 W Biesterfield Road
Suite 306
Elk Grove Village, IL 60007-7324
Phone
(847) 437-9889
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Rosemary A Martin
Title
Administrator
Phone
(847) 437-9889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

901 W Biesterfield Road
Suite 306
Elk Grove Village, IL 60007-7324

Mailing address

PO Box 807
Elk Grove Village, IL 60009-0807
Phone (847) 437-9889

Other identifiers 2

IdentifierTypeStateIssuer
31603457OtherILBCBS
200006961OtherILMEDICARE RAILROAD

Other names 1

  • Open MRI Imaging Specialists, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwest Sports Medicine Orthopedic Surgical Specialists LTD9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1801005376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600090807",
            "telephone_number": "847-437-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W BIESTERFIELD ROAD",
            "address_2": "SUITE 306",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077324",
            "telephone_number": "847-437-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPORTS MEDICINE & ORTHOPEDIC SURGICAL SPECIALIST LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-437-9889"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31603457",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200006961",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI Imaging Specialists, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.