Orthopedic & Sports Medicine Center

NPI #1366534083 in Normal, Illinois

Provider Information

NPI Number
1366534083
Entity Type
Organization
Organization Name
Orthopedic & Sports Medicine Center
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Sep 29, 2006
Last Updated
Nov 19, 2008

Practice Location

Address
2200 FORT JESSE RD STE 250
City
Normal
ZIP Code
61761-6290
Phone
(309) 454-1616

Authorized Official

Name
GREGG CHADWICK
Title
CHIEF OPERATING OFFICER
Phone
(309) 454-1616

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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