| Midwest Sports Medicine & Orthopaedic Surgical Specialists, Ltd. | |
| 
					901 Biesterfield Rd, Suite 300, Elk Grove Village, IL 60007-3392  | |
| (847) 437-9889 | |
| (847) 437-4149 | 
| Full Name | Midwest Sports Medicine & Orthopaedic Surgical Specialists, Ltd. | 
|---|---|
| Type | Facility | 
| Speciality | Orthopaedic Surgery - Sports Medicine | 
| Location | 901 Biesterfield Rd, Elk Grove Village, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144220724 | NPI | - | NPPES | 
| 31603457 | Other | IL | BC/BS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | (Illinois) | Secondary | 
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 042-006737 (Illinois) | Primary | 
| Provider Name | Bruce J Montella | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1134129091 PECOS PAC ID: 4082643184 Enrollment ID: I20050809000815  | 
| Provider Name | Eugene P Lopez | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1467452300 PECOS PAC ID: 6103855671 Enrollment ID: I20050809000852  | 
| Provider Name | Mary K Morrell | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1467452318 PECOS PAC ID: 3476582586 Enrollment ID: I20050809000874  | 
| Provider Name | Erwin Friedman | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1063412617 PECOS PAC ID: 7618906728 Enrollment ID: I20050809000909  | 
| Provider Name | Sean Daniel Odell | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1518981612 PECOS PAC ID: 1355378712 Enrollment ID: I20060926000102  | 
| Provider Name | Brian F Trembly | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1346392008 PECOS PAC ID: 7517060064 Enrollment ID: I20070321000451  | 
| Provider Name | Roberta Kamen | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1508065228 PECOS PAC ID: 3274785548 Enrollment ID: I20121212000619  | 
| Provider Name | Kimberly A Reagan | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1346639820 PECOS PAC ID: 8527382670 Enrollment ID: I20150120000238  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Midwest Sports Medicine & Orthopaedic Surgical Specialists, Ltd. 901 Biesterfield Rd, Suite 300, Elk Grove Village, IL 60007-3392 Ph: (847) 437-9889  | Midwest Sports Medicine & Orthopaedic Surgical Specialists, Ltd. 901 Biesterfield Rd, Suite 300, Elk Grove Village, IL 60007-3392 Ph: (847) 437-9889  |