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Organization
MCLEAN COUNTY ORTHOPEDICS, LTD
Active
Organization
MCLEAN COUNTY ORTHOPEDICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME W OAKEY M.D. (PRESIDENT)
(309) 663-6461
Entity
Organization
Contact information
Practice address
1111 TRINITY LANE, SUITE 111, BLOOMINGTON, IL 61704-3738
(309) 663-6461
(309) 663-5711
Mailing address
1111 TRINITY LANE, SUITE 111, BLOOMINGTON, IL 61704-3738
(309) 663-6461
(309) 663-5711
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/04/2006
Last updated
09/14/2016
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