Ortho-Sport, Inc.

LBN: Ortho-Sport, Inc.
Ortho-Sport, Inc. is an health care organization with primary practice located at 800 Des Plaines Ave , Forest Park IL 60130-2035. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Ortho-Sport, Inc. can be contacted via phone (708) 366-2442, or through Keenum, Michael Edward via phone (708) 366-2442.

Contact Information

Primary practice address
800 Des Plaines Ave Forest Park IL 60130-2035
Phone: (708) 366-2442
Fax: (708) 366-0179
Website:
Map and Directions
Authorized official contact:
Name: Keenum, Michael Edward Physical Therapist (PT)
Phone: (708) 366-2442

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1942379110
LBN Legal business name Ortho-Sport, Inc.
DBA Doing business as
Authorized official Keenum, Michael Edward Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942379110 NPPES
Illinois Other 1683317 BCBS OF IL

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