# MUSCULOSKELETAL SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Plains, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811220650
- **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 |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 7003146 | IL | Yes |

## Other

- **Enumeration date:** 09/11/2009
- **Last updated:** 09/11/2009