Organization
WESTERN ILLINOIS SPORTS MEDICINE AND ORTHOPEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD DEE WHEELER M.D. (PRESIDENT)
(217) 224-8955
Entity
Organization
Contact information
Practice address
927 BROADWAY ST STE 104, QUINCY, IL 62301-2728
(217) 224-8955
(217) 223-8917
Mailing address
927 BROADWAY ST STE 104, QUINCY, IL 62301-2728
(217) 224-8955
(217) 223-8917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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