Individual provider · Type 1 NPI

Nichelle Enata, MD

Sports Medicine (Orthopaedic Surgery) Physician · Belleville, IL

NPI number 1972974244 Active

Practice location

4700 Memorial Dr Ste 340
Belleville, IL 62226-5373

Fax (618) 235-9020

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Other practice locations

  • 660 S Euclid Ave, St. Louis, MO 63110-1010 · (314) 747-2835

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X2020017990 (MO)
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X036178542 (IL)

Sports Medicine (Orthopaedic Surgery) Physician: 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 te…

10 other providers at this address

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About NPI 1972974244

Nichelle Enata, MD's National Provider Identifier is 1972974244, issued on Oct 13, 2015. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Belleville, IL. The record was last updated on Aug 5, 2026.