# ORTHOPEDIC & SHOULDER CENTER, S.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1437453073
- **Authorized official:** BRANDI MEISNER (ADMINISTRATOR)
- **Authorized official phone:** (309) 888-9800

## Contact information

- **Practice address:** 2200 FORT JESSE RD STE 250, NORMAL, IL 61761-6290
- **Practice address phone:** (309) 454-1616
- **Practice address fax:** (309) 454-5167
- **Mailing address:** 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL 61761
- **Mailing address phone:** (309) 888-9800
- **Mailing address fax:** (309) 828-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036092458 | IL | Yes |

## Other

- **Enumeration date:** 12/22/2010
- **Last updated:** 04/21/2015