| NPI | 1154861342 |
|---|---|
| Doing Business As | SBL ORTHOPEDICS & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DENNIS PLUARD VP Of Operations 217-258-2102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |