Organization
CENTRAL ILLINOIS ORTHOPEDIC SURGERY S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE A. NORD M.D. (PRESIDENT)
(309) 662-2278
Entity
Organization
Contact information
Practice address
1505 EASTLAND DR, SUITE 220, BLOOMINGTON, IL 61701-3534
(309) 662-2278
(309) 663-2956
Mailing address
1505 EASTLAND DR, SUITE 220, BLOOMINGTON, IL 61701-3534
(309) 662-2278
(309) 663-2956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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