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
- Organization
- Physical Medicine & Rehabilitation
- Sports Medicine
- Accepts Insurance
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 one year ago. Illini Sports Medicine operates as a multi-specialty business group with one or more individual providers 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
- Code Navigator
Location Map
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 1 | 3 | 2 | 0 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 2 | 3 | 4 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 2 + 3 + 4 + 0 + 6 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1033132030 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
MR. GEOFRY D. MANZO ATC
Specialist/Technologist
(Athletic Trainer)
301 W LINCOLN ST
SUITE 210
BELLEVILLE, IL
ZIP 62220
MS. ELIZABETH J CASCHETTA MS, ATC
Specialist/Technologist
(Athletic Trainer)
301 W LINCOLN ST
SUITE 210
BELLEVILLE, IL
ZIP 62220
DR. PAUL MARTIN BIEGLER D.M.D.
Dentist
(General Practice)
301 W LINCOLN ST
SUITE 54
BELLEVILLE, IL
ZIP 62220
DR. RANDY JOHN JUNG M.D.
Psychiatry & Neurology
(Psychiatry)
301 W LINCOLN ST
SUITE 106
BELLEVILLE, IL
ZIP 62220
PRAIRIE PSYCHIATRY, SC
Psychiatry & Neurology
(Psychiatry)
301 W LINCOLN ST
SUITE 106
BELLEVILLE, IL
ZIP 62220
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Preventive Medicine
(Occupational Medicine)
301 W LINCOLN ST
SUITE 100
BELLEVILLE, IL
ZIP 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.
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to verify.
