Organization
PRO SPORTS & SPINE REHABILITATION, SC
Active
Organization
PRO SPORTS & SPINE REHABILITATION, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C SARANTOPOULOS DO (OFFICER)
(630) 924-1450
Entity
Organization
Contact information
Practice address
6374 N LINCOLN AVE, SUITE 301, CHICAGO, IL 60659-1275
(630) 924-1450
(630) 924-1459
Mailing address
6374 N LINCOLN AVE, SUITE 301, CHICAGO, IL 60659-1275
(630) 924-1450
(630) 924-1459
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036094371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01638376
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/26/2007
Last updated
05/22/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up