1518913508 NPI number — DUPAGE SPORTS INJURY CENTER, LTD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518913508 NPI number — DUPAGE SPORTS INJURY CENTER, LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUPAGE SPORTS INJURY CENTER, LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518913508
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/29/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 S YORK RD
Provider Second Line Business Mailing Address:
SUITE 4250
Provider Business Mailing Address City Name:
ELMHURST
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60126-5626
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-758-8820
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 S YORK RD
Provider Second Line Business Practice Location Address:
SUITE 4250
Provider Business Practice Location Address City Name:
ELMHURST
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60126-5626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-758-8820
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRASH
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
PRES
Authorized Official Telephone Number:
630-758-8820

Provider Taxonomy Codes

  • Taxonomy code: 207XX0005X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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