Central Illinois Orthopedic Surgery Ii Llc.

LBN: Central Illinois Orthopedic Surgery Ii Llc.
Central Illinois Orthopedic Surgery Ii Llc. is an health care organization with primary practice located at 1505 Eastland Dr Suite 220, Bloomington IL 61701-3534. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Central Illinois Orthopedic Surgery Ii Llc. can be contacted via phone (309) 662-2278, or through Keller, Brett L via phone (309) 662-2278.

Contact Information

Primary practice address
1505 Eastland Dr Suite 220 Bloomington IL 61701-3534
Phone: (309) 662-2278
Fax: (309) 663-2956
Website:
Map and Directions
Authorized official contact:
Name: Keller, Brett L Doctor of Osteopathy (DO)
Phone: (309) 662-2278

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1508889965
LBN Legal business name Central Illinois Orthopedic Surgery Ii Llc.
DBA Doing business as
Authorized official Keller, Brett L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508889965 NPPES
Illinois Other 791203417 MEDICARE METRAHEALTH
Illinois Other IL0101 MEDICARE METRAHEALTH
Illinois Other 571537801 MEDICARE METRAHEALTH

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