Orthopedics Of Illinois - The Bone Joint And Sports Medicine Center S

NPI 1255635892 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1255635892
Enumeration Date 12/22/2010
Last Updated 07/07/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name STEPHEN STEPHEN
Position ADMINISTRATOR
Phone (309) 454-1616
Fax
Practice Location
2200 FORT JESSE RD STE 250
NORMAL IL, 61761-6290, US
Phone (309) 454-1616
Fax
Business Location
2200 FORT JESSE RD STE 250
NORMAL IL, 61761-6290, US
Phone (309) 454-1616
Fax (309) 454-5167
Toxanomy
Taxonomy Code 207X00000X
License State Illinois
License Number 036108279
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According to our database, Orthopedics Of Illinois - The Bone Joint And Sports Medicine Center S NPI is 1255635892, taxonomy code is 207X00000X and license number is 036108279, license state is located at Illinois. Orthopedics Of Illinois - The Bone Joint And Sports Medicine Center S physically located at 2200 Fort Jesse Rd Ste 250, Normal IL, 61761-6290. NPI Number 1033115704 has the healthcare provider type.

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1255635892 NPI number is provided on an as is basis without warranty of any kind. 1255635892 is maintained by the National Plan & Provider Enumeration System. The contents of Orthopedics Of Illinois - The Bone Joint And Sports Medicine Center S are for informational purposes only.