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Organization
ORTHOPAEDIC CENTER OF ILLINOIS
Active
Organization
ORTHOPAEDIC CENTER OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ROETHEMEYER (CEO)
(217) 547-9100
Entity
Organization
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022423
IL
Other
Enumeration date
10/12/2016
Last updated
11/20/2020
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