Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Orthopedics & Sports Medicine, PC

Organization Orthopaedic Surgery Physician · NPI 1710261623

Community Orthopedics & Sports Medicine, PC is an Orthopaedic Surgery Physician in Sparta, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

818 E Broadway St 1st Fl
Sparta, IL 62286-1820
Phone: (618) 443-2177
Fax: (618) 443-1324
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036109093 (IL)

Record details

NPI number1710261623
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommunity Orthopedics & Sports Medicine, PC
Authorized official Tammy Adderley — Credentialing · (314) 432-2580
NPI enumeratedOctober 11, 2011
Last updated in NPPESOctober 11, 2011
Mailing addressPo Box 1449, Maryland Heights, MO 63043-0449