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Organization
NEUROMUSCULAR ORTHOPAEDIC INSTITUTE LTD
Active
Organization
NEUROMUSCULAR ORTHOPAEDIC INSTITUTE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN L FROEHLING MD (OWNER)
(618) 242-4750
Entity
Organization
Contact information
Practice address
302 BROADWAY ST, MOUNT VERNON, IL 62864-5116
(618) 242-4750
(618) 242-7674
Mailing address
302 BROADWAY ST, MOUNT VERNON, IL 62864-5116
(618) 242-4750
(618) 242-7674
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042007509
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27610
GHP
IL
01
—
4100074
BLUE CROSS BLUE SHIELD
IL
01
—
CN4164
RR MEDICARE
IL
Enumeration date
08/17/2006
Last updated
03/07/2013
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