# MCLEAN COUNTY ORTHOPEDICS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063420248
- **Authorized official:** JEROME W OAKEY M.D. (PRESIDENT)
- **Authorized official phone:** (309) 663-6461

## Contact information

- **Practice address:** 1111 TRINITY LANE, SUITE 111, BLOOMINGTON, IL 61704-3738
- **Practice address phone:** (309) 663-6461
- **Practice address fax:** (309) 663-5711
- **Mailing address:** 1111 TRINITY LANE, SUITE 111, BLOOMINGTON, IL 61704-3738
- **Mailing address phone:** (309) 663-6461
- **Mailing address fax:** (309) 663-5711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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