institution
Comprehensive Orthopedics, P. C.
Specialist in Peoria, Illinois
NPI 1902040124

Comprehensive Orthopedics, P. C. is a Specialist based in Peoria, IL. Comprehensive Orthopedics, P. C. practices in Peoria, IL. The NPI Number for Comprehensive Orthopedics, P. C. is 1902040124 and holds a License No. 060007948 (Illinois).

The current practice location address for Comprehensive Orthopedics, P. C. is 5401 North Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-6644 and via fax at 309-692-8992.

Location: 5401 North Knoxville Ave, Peoria, IL, 61614-5021
institution
Provider Profile Details
NPI Number
1902040124
Provider Name
Comprehensive Orthopedics, P. C.
Credential
Provider Entity Type
Organization
Address
5401 North Knoxville Ave, Peoria, IL, 61614-5021
Phone Number
309-692-6644
Fax Number
309-692-8992
Provider Enumeration Date
05/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CH8612 01 IL RR MEDICARE
060007948 05 IL
050053 01 IL HEALTH ALLIANCE
7230175 01 IL BLUE CROSS BLUE SHIELD
368270100 01 IL OWCP DEPARTMENT OF LABORR
060007948 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5401 North Knoxville Ave
City
State
Zip
61614-5021
Phone Number
309-692-6644
Fax Number
309-692-8992
person
Provider Business Mailing Address Details
Address
5401 North Knoxville Ave
City
State
Zip
61614-5021
Phone Number
309-692-6644
Fax Number
309-692-8992
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
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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