Organization
ILLINOIS ORTHOPEDIC INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE GEORGE DPM (PARTNER)
(815) 741-6900
Entity
Organization
Contact information
Practice address
1445 ESSINGTON RD., JOLIET, IL 60435-2886
(815) 741-6900
(815) 729-1583
Mailing address
1445 ESSINGTON RD, JOLIET, IL 60435-2886
(815) 741-6900
(815) 729-1583
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248002291
IL STATE LICENSE
IL
Enumeration date
10/02/2018
Last updated
07/17/2021
Update your record
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