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

Active since July 25, 2006
301 W LINCOLN ST, SUITE 210, BELLEVILLE, IL 62220(618) 641-5800(618) 641-5825 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Dec 12, 2022, Dec 22, 2021 and 1 more (4 updates tracked since 2019).

About Illini Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINI SPORTS MEDICINE (NPI 1033132030) is a healthcare organization registered as a sports medicine in Belleville, Illinois and active in the NPI registry since July 2006. The organization lists Mark D Evard, Vp Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1033132030
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Location Address301 W LINCOLN ST, SUITE 210Belleville, IL 62220-1901
Mailing Address3051 Hollis DrSpringfield, IL 62704-7450 · (618) 641-5800 · Fax (618) 641-5825
Phone(618) 641-5800
Fax(618) 641-5825
Organization SubpartNo
Authorized OfficialMark D EvardVp Of Revenue Cycle · (217) 492-9651
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 31, 20244 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1033132030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
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.
301 W LINCOLN ST, Belleville, IL 62220
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Other Names 1

Doing Business AsIllini Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDY JOHN JUNG M.D.
Psychiatry & Neurology (Psychiatry)
301 W LINCOLN ST, SUITE 106
BELLEVILLE, IL 62220
St. Clair County (618) 235-1582
MR. GEOFRY D. MANZO ATC
Specialist/Technologist (Athletic Trainer)
301 W LINCOLN ST, SUITE 210
BELLEVILLE, IL 62220
St. Clair County (618) 641-5800
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Preventive Medicine (Occupational Medicine)
301 W LINCOLN ST, SUITE 100
BELLEVILLE, IL 62220
St. Clair County (618) 234-2120
PRAIRIE PSYCHIATRY, SC
Psychiatry & Neurology (Psychiatry)
301 W LINCOLN ST, SUITE 106
BELLEVILLE, IL 62220
St. Clair County (618) 235-1582
MS. ELIZABETH J CASCHETTA MS, ATC
Specialist/Technologist (Athletic Trainer)
301 W LINCOLN ST, SUITE 210
BELLEVILLE, IL 62220
St. Clair County (618) 641-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Elizabeths Hospital Of The Hospital Sisters Of The Third Order's NPI number?

The NPI number for St Elizabeths Hospital Of The Hospital Sisters Of The Third Order is 1033132030. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Illini Sports Medicine.

Where is St Elizabeths Hospital Of The Hospital Sisters Of The Third Order located?

St Elizabeths Hospital Of The Hospital Sisters Of The Third Order is located at 301 W Lincoln St Suite 210, Belleville, IL 62220. The listed phone number is (618) 641-5800.

What is St Elizabeths Hospital Of The Hospital Sisters Of The Third Order's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for St Elizabeths Hospital Of The Hospital Sisters Of The Third Order was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.