Central Illinois Orthopedic Surgery Ii Llc. in Bloomington - Orthopaedic Surgery

Central Illinois Orthopedic Surgery Ii Llc. - NPI 1508889965

Central Illinois Orthopedic Surgery Ii Llc. is a Orthopaedic Surgery in Bloomington, Illinois. Central Illinois Orthopedic Surgery Ii Llc. practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Central Illinois Orthopedic Surgery Ii Llc. is 1508889965. The last update date is 2022-10-04.

Central Illinois Orthopedic Surgery Ii Llc.'s current location address is 1505 Eastland Dr, Bloomington, Illinois. You can contact this provider via phone number 3096622278 and fax number 3096632956. The mailing address for Central Illinois Orthopedic Surgery Ii Llc. is 1505 Eastland Dr, Bloomington, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Illinois Orthopedic Surgery Ii Llc.
Address 1505 Eastland Dr, Bloomington, Illinois
Phone Number 3096622278
Fax Number 3096632956
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Keller L Brett
Credentials D.O.
Telephone Number 3096622278

NPI Number Detail

NPI Number 1508889965
Provider Enumeration Date 2006-07-26
Last Updated Date 2022-10-04

Provider Mailing Address Detail

Address 1505 Eastland Dr
City Bloomington
State Illinois (IL)
Post Code 617013534
Phone Number 3096622278
Fax Number 3096632956

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Definition:
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 car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
791203417 IL MEDICARE METRAHEALTH
IL0101 IL JOHN DEERE
571537801 IL BLUE CROSS BLUE SHIELD

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FAQs about Central Illinois Orthopedic Surgery Ii Llc.

What is the unique 10-digit identifier code issued to Central Illinois Orthopedic Surgery Ii Llc. by the Centers for Medicare & Medicaid Services?

The Central Illinois Orthopedic Surgery Ii Llc. has been assigned the NPI (National Provider Identifier) 1508889965 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Central Illinois Orthopedic Surgery Ii Llc. is geographically located?

The Central Illinois Orthopedic Surgery Ii Llc. is physically situated at the following location: 1505 Eastland Dr, Bloomington, IL, 617013534.

What is the Central Illinois Orthopedic Surgery Ii Llc.'s area of specialization and corresponding taxonomy classification?

The Central Illinois Orthopedic Surgery Ii Llc.'s specialty field is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their specialties.

On what date did the Central Illinois Orthopedic Surgery Ii Llc. receive the assignment of its 1508889965 from the Centers for Medicare & Medicaid Services?

The Central Illinois Orthopedic Surgery Ii Llc. was issued its 1508889965 by the Centers for Medicare & Medicaid Services on 2006-07-26.

As of what date was the information pertaining to Central Illinois Orthopedic Surgery Ii Llc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Central Illinois Orthopedic Surgery Ii Llc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-10-04.

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