OrganizationActive
Competitive Edge Sports Medicine
NPI 1104000561 · Sports Medicine (Family Medicine) Physician · Breese, IL
Provider details
- NPI number
- 1104000561
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Neighbors, President(618) 526-2603
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
14160 Jamestown Rd
Breese, IL 62230
Phone: (618) 526-2603
Fax: (618) 526-1435
Approximate (ZIP-level) locationGet directions
Mailing address
9431 Holy Cross Ln
Breese, IL 62230-3510
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2007-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.