| NPI | 1477049070 |
|---|---|
| Other Name | ORTHOILLINOIS |
| Entity Type | Organization |
| Authorized Contact | LESLIE ELMER Manager, Credentialing And Risk Man 815-381-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2024-04-19 |