Innovative Sports Medicine LLC

NPI #1881963163 in Batavia, Illinois

Provider Information

NPI Number: 1881963163
Entity Type: Organization
Organization Name: Innovative Sports Medicine LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 15, 2011
Last Updated: May 22, 2013

Practice Location

Address: 501 W FABYAN PKWY
City: Batavia
State: Illinois
ZIP Code: 60510-1267
Phone: (630) 524-2445

Authorized Official

Name: ERIC HESTRUP, D.C.
Title: MEMBER
Phone: (630) 788-7990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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