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ORTHOPEDICS OF ILLINOIS - THE BONE, JOINT, AND SPORTS MEDICINE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE STOUT MHA (ADMINISTRATOR)
(309) 268-0000
Entity
Organization

Contact information

Practice address
2200 FORT JESSE RD, SUITE 250, NORMAL, IL 61761-6286
(309) 268-0000
(209) 863-5923
Mailing address
2200 FORT JESSE RD, SUITE 250, NORMAL, IL 61761-6286

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
IL

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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