Orthopaedic Surgery Center Of Illinois, Llc in Springfield - Ambulatory Surgical
Orthopaedic Surgery Center Of Illinois, Llc - NPI 1760457204
Orthopaedic Surgery Center Of Illinois, Llc is a Ambulatory Surgical in Springfield, Illinois. Orthopaedic Surgery Center Of Illinois, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Orthopaedic Surgery Center Of Illinois, Llc is 1760457204. The last update date is 2010-01-11.
Orthopaedic Surgery Center Of Illinois, Llc's current location address is 3136 Old Jacksonville Rd, Springfield, Illinois. You can contact this provider via phone number 2178620500. The mailing address for Orthopaedic Surgery Center Of Illinois, Llc is 3136 Old Jacksonville Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Orthopaedic Surgery Center Of Illinois, Llc |
|---|---|
| Address | 3136 Old Jacksonville Rd, Springfield, Illinois |
| Phone Number | 2178620500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Schultz Kim |
| Credentials | RN |
| Telephone Number | 2178620500 |
NPI Number Detail
| NPI Number | 1760457204 |
|---|---|
| Provider Enumeration Date | 2006-02-20 |
| Last Updated Date | 2010-01-11 |
Provider Mailing Address Detail
| Address | 3136 Old Jacksonville Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627046487 |
| Phone Number | 2178620500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 7002306 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490004938 | IL | RR MEDICARE | |
| 7002306 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Orthopaedic Surgery Center Of Illinois, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Orthopaedic Surgery Center Of Illinois, Llc has been assigned the NPI (National Provider Identifier) 1760457204. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Orthopaedic Surgery Center Of Illinois, Llc?
The Orthopaedic Surgery Center Of Illinois, Llc is situated at 3136 Old Jacksonville Rd, in the city of Springfield, state of IL, with the zip code 627046487.
What is Orthopaedic Surgery Center Of Illinois, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Orthopaedic Surgery Center Of Illinois, Llc's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.
On what date did the Orthopaedic Surgery Center Of Illinois, Llc receive the assignment of its 1760457204 from the Centers for Medicare & Medicaid Services?
The Orthopaedic Surgery Center Of Illinois, Llc was issued its 1760457204 by the Centers for Medicare & Medicaid Services on 2006-02-20.
As of what date were the details pertaining to Orthopaedic Surgery Center Of Illinois, Llc last refreshed?
The information related to the Orthopaedic Surgery Center Of Illinois, Llc, including its address, specialty, and other relevant details, was last updated on 2010-01-11.