PROFESSIONAL HEALTH SPORT, INC.
NPI 1063632917
General Practice in Chicago, IL

Q: What is Professional Health Sport, Inc.'s NPI number?

The NPI number for Professional Health Sport, Inc. is 1063632917. It was assigned to this organization in the NPPES registry on April 25, 2007.

Q: What is Professional Health Sport, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since April 25, 2007

6288 N CICERO AVE, CHICAGO, IL 60646(773) 205-1418 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Professional Health Sport, Inc. NPPES

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

PROFESSIONAL HEALTH SPORT, INC. (NPI 1063632917) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since April 2007. The organization lists John H Dehelean, President, as its authorized official.

NPPES Registry Identity

NPI1063632917

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePROFESSIONAL HEALTH SPORT, INC.

Location Address6288 N CICERO AVEChicago, IL 60646-4918

Mailing Address6288 N Cicero AveChicago, IL 60646-4918 · (773) 205-1418

Phone(773) 205-1418

Organization SubpartNo

Authorized OfficialJohn H DeheleanPresident · (773) 205-1418

Enumeration DateApril 25, 2007

Last NPPES UpdateOctober 1, 2007

✔ NPI 1063632917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

6288 N CICERO AVE, Chicago, IL 60646

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Other Identifiers 1

Medicare ID-Type Unspecified207367IL · Provider Group Number

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

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

HCN HOME HEALTHCARE, INC.

Home Health

6288 N CICERO AVE
CHICAGO, IL 60646

Cook County (773) 545-9236

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 Professional Health Sport, Inc.'s NPI number?

The NPI number for Professional Health Sport, Inc. is 1063632917. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Professional Health Sport, Inc. located?

Professional Health Sport, Inc. is located at 6288 N Cicero Ave, Chicago, IL 60646. The listed phone number is (773) 205-1418.

What is Professional Health Sport, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Professional Health Sport, Inc. was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.