Organization
ORTHOPAEDIC CENTER OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A VANFLEET MD (BOARD PRESIDENT)
(217) 547-9100
Entity
Organization
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9247
Mailing address
PO BOX 9469, SPRINGFIELD, IL 62791-9469
(217) 547-9100
(217) 547-9247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
042007969
IL
Other
Enumeration date
01/16/2007
Last updated
06/05/2023
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