OrganizationActive
Elite Sports Medicine Institute, Ltd.
NPI 1467687806 · Sports Medicine (Family Medicine) Physician · Westmont, IL
Provider details
- NPI number
- 1467687806
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ketan Mody, President(630) 789-3764
- License
- 036119306 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
760 Pasquinelli Dr
Suite 304
Westmont, IL 60559-5564
Phone: (630) 789-3764
Fax: (630) 794-9998
Street-level locationGet directions
Mailing address
Po Box 3231
Oak Brook, IL 60522-3231
Registry dates
- Enumerated
- 2009-05-28
- Last updated
- 2015-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.