Organization
STELLAR ORTHOPEDICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MARK WILCOX (PRESIDENT)
(309) 661-8400
Entity
Organization
Contact information
Practice address
3104 AUBURN RD, BLOOMINGTON, IL 61704-8576
(309) 661-8400
Mailing address
3104 AUBURN RD, BLOOMINGTON, IL 61704-8576
(309) 661-8400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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