Organization
ORTHOPEDIC ASSOCIATES OF PEORIA, S.C.
Active
Other names
d/b/a Great Plains Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET E SMITH (CHIEF OPERATING OFFICER)
(309) 676-5546
Entity
Organization
Contact information
Practice address
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
(309) 676-5546
(309) 676-5045
Mailing address
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
(309) 676-5546
(309) 676-5045
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042000244
IL
Other
Enumeration date
04/06/2006
Last updated
12/28/2009
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