Comprehensive Orthopedics, P. C.

LBN: Comprehensive Orthopedics, P. C.
Comprehensive Orthopedics, P. C. is an health care organization with primary practice located at 5401 North Knoxville Ave Suite 400, Peoria IL 61614-5021. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Comprehensive Orthopedics, P. C. can be contacted via phone (309) 692-6644, or through Lane, George W. via phone (309) 692-6644.

Contact Information

Primary practice address
5401 North Knoxville Ave Suite 400 Peoria IL 61614-5021
Fax: (309) 692-8992
Website:
Authorized official contact:
Name: Lane, George W. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 060007948 Illinois

Profile Details

NPI number 1902040124
LBN Legal business name Comprehensive Orthopedics, P. C.
DBA Doing business as
Authorized official Lane, George W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2009
Last updated Mar 18th, 2010 - about 15 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 1902040124 NPPES
Illinois Other CH8612 RR MEDICARE
Illinois MEDICAID 060007948 RR MEDICARE
Illinois Other 050053 RR MEDICARE
Illinois Other 7230175 RR MEDICARE
Illinois Other 368270100 RR MEDICARE
Illinois Other 060007948 RR MEDICARE

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