# SPORTS MEDICAL SERVICES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Integrated Physical Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447688080
- **Authorized official:** SEAN DAVID ROYER (PRESIDENT)
- **Authorized official phone:** (847) 259-6605

## Contact information

- **Practice address:** 500 W CENTRAL RD, STE. 103, MOUNT PROSPECT, IL 60056-2347
- **Practice address phone:** (847) 259-6605
- **Practice address fax:** (847) 259-8071
- **Mailing address:** 500 W CENTRAL RD, STE. 103, MOUNT PROSPECT, IL 60056-2347
- **Mailing address phone:** (847) 259-6605
- **Mailing address fax:** (847) 259-8071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 042616989 | IL | Yes |

## Other

- **Enumeration date:** 10/16/2013
- **Last updated:** 10/16/2013