Orthopedic & Sports Medicine Center

NPI #1972611044 in Normal, Illinois

Provider Information

NPI Number
1972611044
Entity Type
Organization
Organization Name
Orthopedic & Sports Medicine Center
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Aug 28, 2006
Last Updated
Mar 23, 2011

Practice Location

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

Authorized Official

Name
STEPHEN STOUT
Title
CHIEF OPERATING OFFICER
Phone
(309) 454-1616

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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