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ORTHOPEDICS OF ILLINOIS - THE BONE JOINT AND SPORTS MEDICINE CENTER S NPI 1255635892


NPI Information

NPI: 1255635892
Provider Name: ORTHOPEDICS OF ILLINOIS - THE BONE JOINT AND SPORTS MEDICINE CENTER S

Doing Business As: ORTHO ILLINOIS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2200 FORT JESSE RD STE 250
NORMAL, IL
ZIP 61761
Phone: (309) 454-1616
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ORTHOPEDICS OF ILLINOIS - THE BONE JOINT AND SPORTS MEDICINE CENTER S is an orthopaedic surgery in Normal, IL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ORTHOPEDICS OF ILLINOIS - THE BONE JOINT AND SPORTS MEDICINE CENTER S NPI is 1255635892. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ortho Illinois.

The provider's business location address is:

2200 FORT JESSE RD STE 250
NORMAL, IL
ZIP 61761-290
Phone: (309) 454-1616

The provider's authorized official is Stephen Stout .
The authorized official title is Administrator and has the following contact phone number (309) 454-1616.

The enumeration date for this NPI number is 12/22/2010 and was last updated on 7/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery036108279ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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