Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OCCU - SPORTS MED CORP
Active OrganizationOCCU - SPORTS MED CORP is a Specialist organization located in BELLWOOD, Illinois. NPI 1457344657 is currently active in the NPPES registry. Verify at CMS.
Specialist · BELLWOOD, IL
Registration Details
- NPI Number
- 1457344657
- Provider Type
- Organization
- NPI Issued
- Aug 24, 2005 (20.792060734714 yrs)
- Last Updated
- Nov 8, 2010
- Licenses
-
036078648 (IL)036043379 (IL)036078552 (IL)
Practice Information
- Address
-
2615 HARRISON STBELLWOOD, IL, 601042450Browse IL providers · Browse ZIP 60104
- Phone
- 7084930199
- Fax
- 7084939683
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
- Additional Specialty
- Specialist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.