| Orland Park Orthopedics - Peoria | |
|
110 W Mcclure Ave Peoria IL 61604-3634 | |
| (309) 419-8996 | |
| (309) 966-3928 |
| Full Name | Orland Park Orthopedics - Peoria |
|---|---|
| Speciality | Clinic/center |
| Location | 110 W Mcclure Ave, Peoria, Illinois |
| Authorized Official Name and Position | Blair Andrew Rhode (PRESIDENT) |
| Authorized Official Contact | 7083377704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orland Park Orthopedics - Peoria 110 W Mcclure Ave Peoria IL 61604-3634 Ph: (309) 419-8996 | Orland Park Orthopedics - Peoria 110 W Mcclure Ave Peoria IL 61604-3634 Ph: (309) 419-8996 |
| NPI Number | 1073081436 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073081436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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