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Organization

EAST CENTRAL ILLINOIS ORTHOPEDICS & SPORTS MEDICINE LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER T HOGG DO (PRESIDENT)
(217) 442-2054
Entity
Organization

Contact information

Practice address
737 N LOGAN AVE, DANVILLE, IL 61832-4363
(217) 442-2054
Mailing address
205 W BOUTZ RD, BLDG 1, LAS CRUCES, NM 88005-3259
(575) 532-7000
(575) 532-7006

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
01/12/2010
Last updated
07/15/2010
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