Orthopaedic Center of Illinois

NPI #1164972311 in Springfield, Illinois

Provider Information

NPI Number: 1164972311
Entity Type: Organization
Organization Name: Orthopaedic Center of Illinois
Primary Specialty: Physical Therapist
Enumeration Date: Oct 12, 2016
Last Updated: Nov 20, 2020

Practice Location

Address: 1301 S KOKE MILL RD
City: Springfield
State: Illinois
ZIP Code: 62711-9252
Phone: (217) 547-9100

Authorized Official

Name: LORI ROETHEMEYER
Title: CEO
Phone: (217) 547-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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