ILLINI SPORTS MEDICINE
NPI 1033132030
Physical Medicine & Rehabilitation - Sports Medicine in Belleville, IL

NPI Status: Active since July 25, 2006

Contact Information

301 W LINCOLN ST
SUITE 210
BELLEVILLE, IL
ZIP 62220
Phone: (618) 641-5800
Fax: (618) 641-5825

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  • Organization
  • Physical Medicine & Rehabilitation
  • Sports Medicine

About ILLINI SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Illini Sports Medicine, a provider established in Belleville, Illinois operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1033132030 assigned on July 2006. The practitioner's primary taxonomy code is 2081S0010X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Illini Sports Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Illini Sports Medicine. The authorized official of this NPI record is Mark D Evard (Vp Of Revenue Cycle)

NPI
1033132030
Provider Legal Name
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Other Organization Name
ILLINI SPORTS MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
301 W LINCOLN ST SUITE 210 BELLEVILLE, IL 62220
Location Phone
(618) 641-5800
Location Fax
(618) 641-5825
Mailing Address
3051 HOLLIS DR SPRINGFIELD, IL 62704
Mailing Phone
(618) 641-5800
Mailing Fax
(618) 641-5825
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2006
Last Update Date
10-31-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK D EVARD

Authorized Official Title
VP OF REVENUE CYCLE
Authorized Official Phone
(217) 492-9651

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033132030, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 2 + 3 + 4 + 0 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1033132030.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
301 W LINCOLN ST, SUITE 210
BELLEVILLE, IL 62220
Specialist/Technologist (Athletic Trainer)
301 W LINCOLN ST, SUITE 210
BELLEVILLE, IL 62220
Dentist (General Practice)
301 W LINCOLN ST, SUITE 54
BELLEVILLE, IL 62220
Psychiatry & Neurology (Psychiatry)
301 W LINCOLN ST, SUITE 106
BELLEVILLE, IL 62220
Psychiatry & Neurology (Psychiatry)
301 W LINCOLN ST, SUITE 106
BELLEVILLE, IL 62220
Preventive Medicine (Occupational Medicine)
301 W LINCOLN ST, SUITE 100
BELLEVILLE, IL 62220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033132030, enumerated as an "organization" on July 25, 2006.

The provider is located at 301 W LINCOLN ST SUITE 210 BELLEVILLE, IL 62220 and the phone number is (618) 641-5800.

Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.