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Organization

ORTHOPAEDIC SURGERY CENTER OF ILLINOIS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEXANNE DARWENT MBA, BSN, RN, CNOR (DIRECTOR)
(217) 862-0500
Entity
Organization

Contact information

Practice address
3136 OLD JACKSONVILLE RD, SUITE 250, SPRINGFIELD, IL 62704-6487
(217) 862-0500
Mailing address
3136 OLD JACKSONVILLE RD STE 250, SPRINGFIELD, IL 62704-6487
(217) 862-0500

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002306
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007002306
IL
01
490004938
RR MEDICARE
IL
Enumeration date
02/20/2006
Last updated
02/17/2026
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