# NEUROMUSCULAR ORTHOPAEDIC INSTITUTE LTD

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

## Provider details

- **NPI number:** 1114030640
- **Authorized official:** MR. ALAN L FROEHLING MD (OWNER)
- **Authorized official phone:** (618) 242-4750

## Contact information

- **Practice address:** 302 BROADWAY ST, MOUNT VERNON, IL 62864-5116
- **Practice address phone:** (618) 242-4750
- **Practice address fax:** (618) 242-7674
- **Mailing address:** 302 BROADWAY ST, MOUNT VERNON, IL 62864-5116
- **Mailing address phone:** (618) 242-4750
- **Mailing address fax:** (618) 242-7674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 042007509 | IL | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 03/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 27610 | GHP | IL |
| 01 | — | 4100074 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | CN4164 | RR MEDICARE | IL |