Central Illinois Orthopedic Surgery II Llc.
NPI #1508889965 in Bloomington, Illinois
Provider Information
- NPI Number
- 1508889965
- Entity Type
- Organization
- Organization Name
- Central Illinois Orthopedic Surgery II Llc.
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Oct 4, 2022
Practice Location
- Address
- 1505 EASTLAND DR
- Address 2
- SUITE 220
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3534
- Phone
- (309) 662-2278
Authorized Official
- Name
- BRETT L KELLER, D.O.
- Title
- OWNER
- Phone
- (309) 662-2278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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