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. |
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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 |
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1144220724 | NPI | - | NPPES |
31603457 | Other | IL | BC/BS |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (Illinois) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 042-006737 (Illinois) | Primary |
Provider Name | Bruce J Montella |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1134129091 PECOS PAC ID: 4082643184 Enrollment ID: I20050809000815 |
Provider Name | Eugene P Lopez |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1467452300 PECOS PAC ID: 6103855671 Enrollment ID: I20050809000852 |
Provider Name | Mary K Morrell |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1467452318 PECOS PAC ID: 3476582586 Enrollment ID: I20050809000874 |
Provider Name | Erwin Friedman |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1063412617 PECOS PAC ID: 7618906728 Enrollment ID: I20050809000909 |
Provider Name | Sean Daniel Odell |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1518981612 PECOS PAC ID: 1355378712 Enrollment ID: I20060926000102 |
Provider Name | Brian F Trembly |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346392008 PECOS PAC ID: 7517060064 Enrollment ID: I20070321000451 |
Provider Name | Roberta Kamen |
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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 |
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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 |
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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 |