Organization
SPORTS MEDICINE SOLUTIONS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT FONDA (PRESIDENT)
(312) 543-3544
Entity
Organization
Contact information
Practice address
825 N CASS AVE, SUITE 104, WESTMONT, IL 60559-1132
(630) 522-4060
Mailing address
949 LAKE ST, F3, OAK PARK, IL 60301-1260
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038007499
IL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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