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CENTRAL ILLINOIS ORTHOPEDIC SURGERY II LLC. NPI 1508889965


NPI Information

NPI: 1508889965
Provider Name: CENTRAL ILLINOIS ORTHOPEDIC SURGERY II LLC.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1505 EASTLAND DR
SUITE 220
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 662-2278
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CENTRAL ILLINOIS ORTHOPEDIC SURGERY II LLC. 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. CENTRAL ILLINOIS ORTHOPEDIC SURGERY II LLC. NPI is 1508889965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 EASTLAND DR
SUITE 220
BLOOMINGTON, IL
ZIP 61701-534
Phone: (309) 662-2278
Fax: (309) 663-2956

The provider's authorized official is Lawrence A. Nord .
The authorized official title is President and has the following contact phone number (309) 662-2278.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 1/2/2009.


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
1207X00000XOrthopaedic 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
1791203417OTHERILLINOISMEDICARE METRAHEALTH
2641350MEDICARE PINILLINOIS
3IL0101OTHERILLINOISJOHN DEERE
4571537801OTHERILLINOISBLUE CROSS BLUE SHIELD
56142510001MEDICARE NSCILLINOIS

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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