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MCLEAN COUNTY ORTHOPEDICS LTD NPI 1063420248


NPI Information

NPI: 1063420248
Provider Name: MCLEAN COUNTY ORTHOPEDICS, LTD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1111 TRINITY LANE
SUITE 111
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 663-6461
Get Directions

MCLEAN COUNTY ORTHOPEDICS, LTD is an orthopaedic surgery in Bloomington, IL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MCLEAN COUNTY ORTHOPEDICS, LTD NPI is 1063420248. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1111 TRINITY LANE
SUITE 111
BLOOMINGTON, IL
ZIP 61704-738
Phone: (309) 663-6461
Fax: (309) 663-5711

The provider's authorized official is Jerome W Oakey .
The authorized official title is President and has the following contact phone number (309) 663-6461.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 9/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationNo
2208VP0014XPain MedicineInterventional Pain MedicineNo
3225100000XPhysical TherapistNo
4225X00000XOccupational TherapistNo
5363L00000XNurse PractitionerNo
6207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1619710MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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