REHAB AND SPORTS MED OUTFITTERS, INC
NPI 1114300654
Clinic/Center in Oswego, IL

Active since July 01, 2015
312 MORGAN VALLEY DR, OSWEGO, IL 60543(630) 383-9404 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rehab And Sports Med Outfitters, Inc NPPES

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

REHAB AND SPORTS MED OUTFITTERS, INC (NPI 1114300654), doing business as Rehab And Sports Med Outfitters Of Fox Valley, is a healthcare organization registered as a clinic/center in Oswego, Illinois and active in the NPI registry since July 2015. The organization lists Mark P Naso, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114300654
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREHAB AND SPORTS MED OUTFITTERS, INC
Location Address312 MORGAN VALLEY DROswego, IL 60543-8038
Mailing Address110 Kirkland Cir Ste HOswego, IL 60543-8068 · (630) 383-9404
Organization SubpartNo
Authorized OfficialMark P NasoCeo · (630) 383-9404
Enumeration DateJuly 1, 2015
NPI 1114300654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IL · 056005093
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
312 MORGAN VALLEY DR, Oswego, IL 60543

Other Names 1

Former Legal Business NameRehab And Sports Med Outfitters Of Fox Valley

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 Rehab And Sports Med Outfitters, Inc's NPI number?

The NPI number for Rehab And Sports Med Outfitters, Inc is 1114300654. It was assigned to this organization in the NPPES registry on July 1, 2015. The provider was formerly known as Rehab And Sports Med Outfitters Of Fox Valley.

Where is Rehab And Sports Med Outfitters, Inc located?

Rehab And Sports Med Outfitters, Inc is located at 312 Morgan Valley Dr, Oswego, IL 60543. The listed phone number is (630) 383-9404.

What is Rehab And Sports Med Outfitters, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Rehab And Sports Med Outfitters, Inc was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.