NPI Provider: 1760457204
Contact Name: Schultz KIM
Position: Director
Phone: (217) 862-0500
Orthopaedic Surgery Center Of Illinois Information:
Orthopaedic Surgery Center Of Illinois organization have npi 1760457204, taxonomy code is 261QA1903X with license number is 7002306 in . This Business address located in 3136 Old Jacksonville Rd, Springfield, IL 62704 Illinois.
Practice Location
Address: 3136 Old Jacksonville Rd, Springfield, IL 62704
Phone: (217) 862-0500
Business Location
Address: 3136 Old Jacksonville Rd, Springfield, IL 62704
Phone: (217) 862-0500
Taxonomy
Taxonomy Code: 261QA1903X
License Number: 7002306
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 2/20/2006
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