Orthopedics of Illinois - the Bone, Joint, and Sports Medicine Center

NPI #1164708491 in Normal, Illinois

Provider Information

NPI Number: 1164708491
Entity Type: Organization
Organization Name: Orthopedics of Illinois - the Bone, Joint, and Sports Medicine Center
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Nov 1, 2011
Last Updated: Nov 1, 2011

Practice Location

Address: 2200 FORT JESSE RD
Address 2: SUITE 250
City: Normal
State: Illinois
ZIP Code: 61761-6286
Phone: (309) 268-0000

Authorized Official

Name: STEVE STOUT, MHA
Title: ADMINISTRATOR
Phone: (309) 268-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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