OrganizationActive
All Sports Medicine
NPI 1669657995 · Preferred Provider Organization · Willowbrook, IL
Provider details
- NPI number
- 1669657995
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Terry Smith, Owner(630) 640-9073
- License
- 038-009491 (IL)
Specialties & taxonomies
Managed Care Organizations
Practice location
7850 S Quincy St
Willowbrook, IL 60527
Phone: (630) 515-2701
Fax: (630) 428-4305
Approximate (ZIP-level) locationGet directions
Mailing address
2 South 239 Rte 59
Warrenville, IL 60555
Registry dates
- Enumerated
- 2008-01-06
- Last updated
- 2019-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.