# ORTHOPEDIC ASSOCIATES OF PEORIA, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** d/b/a Great Plains Orthopaedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801859442
- **Authorized official:** MRS. JANET E SMITH (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (309) 676-5546

## Contact information

- **Practice address:** 303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
- **Practice address phone:** (309) 676-5546
- **Practice address fax:** (309) 676-5045
- **Mailing address:** 303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
- **Mailing address phone:** (309) 676-5546
- **Mailing address fax:** (309) 676-5045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 042000244 | IL | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 12/28/2009
