Provider Demographics
NPI:1174518807
Name:PLAYER, JOHN SCOT (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SCOT
Last Name:PLAYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 MACOM DR STE 7
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9362
Mailing Address - Country:US
Mailing Address - Phone:630-851-1600
Mailing Address - Fax:
Practice Address - Street 1:1315 MACOM DR STE 7
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-9362
Practice Address - Country:US
Practice Address - Phone:630-851-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2022-10-25
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
IL036059950207X00000X
IL036-059950207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4500594OtherBLUE CROSS BLUE SHIELD
IL4500594OtherBLUE CROSS/BLUE SHIELD
IL03605990Medicaid
IL4500594OtherBLUE CROSS/BLUE SHIELD
C44737Medicare UPIN
ILC44737Medicare UPIN