Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEAN DAVID HENDRICKS, M.D.
ActiveSEAN DAVID HENDRICKS, M.D. is a Sports Medicine (Emergency) healthcare provider located in SPRINGFIELD, Illinois. NPI 1164583084 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1164583084
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.706959579047 yrs)
- Last Updated
- Dec 4, 2025
- Licenses
-
026330 (LA)42382 (TN)20248 (MS)026330 (LA)
Practice Information
- Address
-
2020 W ILES AVESPRINGFIELD, IL, 627044174Browse IL providers · Browse ZIP 62704
- Phone
- 2174929629
- Fax
- 2176984728
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Ophthalmology
Other Sports Medicine (Emergency) Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| ALEKSANDR KAGAN | D.O. | 1598728453 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.