Provider Demographics
NPI:1477688729
Name:WOODFIELD ORTHOPAEDICS & SPORTS MEDICINE LTD
Entity type:Organization
Organization Name:WOODFIELD ORTHOPAEDICS & SPORTS MEDICINE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SALTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-301-7773
Mailing Address - Street 1:1102 S ROSELLE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4081
Mailing Address - Country:US
Mailing Address - Phone:847-301-7773
Mailing Address - Fax:847-301-6506
Practice Address - Street 1:1102 S ROSELLE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-4081
Practice Address - Country:US
Practice Address - Phone:847-301-7773
Practice Address - Fax:847-301-6506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635715OtherBLUE CROSS BLUE SHIELD
ILD93938Medicare UPIN
IL01635715OtherBLUE CROSS BLUE SHIELD