ILLINOIS SPORTS MEDICINE AND ORTHOPAEDIC CENTERS
NPI 1316983315
Orthopaedic Surgery - Sports Medicine in Glenview, IL

Q: What is North Shore Sports Medicine And Orthopaedic Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since June 20, 2006

1714 MILWAUKEE AVE, GLENVIEW, IL 60025(847) 699-6810(847) 699-2854 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Illinois Sports Medicine And Orthopaedic Centers NPPES

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

ILLINOIS SPORTS MEDICINE AND ORTHOPAEDIC CENTERS (NPI 1316983315) is a healthcare organization registered as a sports medicine in Glenview, Illinois and active in the NPI registry since June 2006. The organization lists Chadwick Prodromos, President, as its authorized official.

NPPES Registry Identity

NPI1316983315

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameNORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, LTD.

Location Address1714 MILWAUKEE AVEGlenview, IL 60025-1441

Mailing Address1714 Milwaukee AveGlenview, IL 60025-1441 · (847) 688-6810 · Fax (847) 699-2854

Phone(847) 699-6810

Fax(847) 699-2854

Organization SubpartNo

Authorized OfficialChadwick ProdromosPresident · (847) 699-6810

Enumeration DateJune 20, 2006

Last NPPES UpdateJune 24, 2010

✔ NPI 1316983315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedPhysical TherapistTaxonomy 225100000X

1714 MILWAUKEE AVE, Glenview, IL 60025

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Other Names 1

Doing Business AsIllinois Sports Medicine And Orthopaedic Centers

Other Identifiers 5

Other200030424IL · Railroad Medicare

Medicare NSC4468030001IL

Other131650500IL · Owcp For Dept Of Labor

Other1618365IL · Bc/bs

Medicare ID-Type Unspecified209723IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Sports Medicine And Orthopaedic Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Illinois Sports Medicine And Orthopaedic Centers, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Angelo Dizon, PT

Physical Therapist in Private Practice

NPI 1093750408

1714 MILWAUKEE AV
Glenview, IL 60025

(847) 699-6810

✔ Accepts MedicareSame address

Chadwick Prodromos, M.D.

Orthopedic Surgery

NPI 1265477699

1714 MILWAUKEE AVE
Glenview, IL 60025

(847) 699-6810

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 North Shore Sports Medicine And Orthopaedic Center, Ltd.'s NPI number?

The NPI number for North Shore Sports Medicine And Orthopaedic Center, Ltd. is 1316983315. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Illinois Sports Medicine And Orthopaedic Centers.

Where is North Shore Sports Medicine And Orthopaedic Center, Ltd. located?

North Shore Sports Medicine And Orthopaedic Center, Ltd. is located at 1714 Milwaukee Ave, Glenview, IL 60025. The listed phone number is (847) 699-6810.

What is North Shore Sports Medicine And Orthopaedic Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is North Shore Sports Medicine And Orthopaedic Center, Ltd. enrolled in Medicare?

Yes. North Shore Sports Medicine And Orthopaedic Center, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Sports Medicine And Orthopaedic Center, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North Shore Sports Medicine And Orthopaedic Center, Ltd., in Orthopedic Surgery and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Shore Sports Medicine And Orthopaedic Center, Ltd. was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.