Orthopedic & Sports Medicine Center
Orthopaedic Surgery in Normal, IL. Organization (NPI-2).
NPI number1972611044
StatusActive
Last updated in NPPESMar 23, 2011
Details
- NPI
- 1972611044
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthopedic & Sports Medicine Center
- Organization subpart
- No
- Enumeration date
- Aug 28, 2006
- Last updated
- Mar 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 042-616684 | IL | Yes |
Practice location
2200 Fort Jesse Rd Ste 250Normal, IL 61761-6290
Phone 309-454-1616
Mailing address
Po Box 1645Bloomington, IL 61702-1645
Authorized official
Stephen Stout
Chief Operating Officer
3094541616
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Other Orthopaedic Surgery Physician providers in Normal, IL
- Lawrence K.C. Li, M.D.NPI 1164419818
- Orthopedic & Shoulder Center, S.C.NPI 1437453073
- Orthopedics Of Illinois - The Bone Joint And Sports Medicine Center SNPI 1255635892
- Orthoworks, S.C.NPI 1144597667
- Premier Medical Group, LLCNPI 1275825432
All 6 Orthopaedic Surgery Physician providers in Normal · All 1,193 providers in Normal
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