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Advanced Orthopedics, Pc
Specialist in Peoria, Illinois
NPI 1508924051

Advanced Orthopedics, Pc is a Specialist based in Peoria, IL. Advanced Orthopedics, Pc practices in Peoria, IL. The NPI Number for Advanced Orthopedics, Pc is 1508924051 and holds a License No. 060007948 (Illinois).

The current practice location address for Advanced Orthopedics, Pc is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-6644 and via fax at 309-692-3052.

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508924051
Provider Name
Advanced Orthopedics, Pc
Credential
Provider Entity Type
Organization
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-692-6644
Fax Number
309-692-3052
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
368270100 01 IL OWCP DEPARTMENT OF LABOR
060007948 01 IL STATE LICENSE
CH8612 01 IL RR MEDICARE
050053 01 IL HEALTH ALLIANCE
7230175 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-6644
Fax Number
309-692-3052
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-6644
Fax Number
309-692-3052
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
060007948 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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