Organization
HUMPHREYS MEDICAL LLC
Active
Other names
SHOAL CREEK ORTHOPAEDICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON HUMPHREYS M.D. (OWNER)
(217) 324-8798
Entity
Organization
Contact information
Practice address
725 SAINT FRANCIS WAY, LITCHFIELD, IL 62056-1780
(217) 324-8798
(217) 324-8622
Mailing address
801 E CARPENTER ST, PO BOX 1977, SPRINGFIELD, IL 62702-5323
(217) 544-6464
(217) 757-6021
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0361131128
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321461
PCH GROUP #
—
Enumeration date
09/10/2007
Last updated
01/22/2008
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