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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ORTHOPEDIC AND SPORTS ENHANCEMENT CENTER, LLC

Active Organization

ORTHOPEDIC AND SPORTS ENHANCEMENT CENTER, LLC is a Specialist organization located in BLOOMINGTON, Illinois. NPI 1003900820 is currently active in the NPPES registry. Verify at CMS.

Specialist · BLOOMINGTON, IL

Registration Details

NPI Number
1003900820
Provider Type
Organization
NPI Issued
Oct 3, 2006 (19.853969074035 yrs)
Last Updated
Sep 12, 2017

Practice Information

Address
2406 E EMPIRE ST
BLOOMINGTON, IL, 617043630
Browse IL providers · Browse ZIP 61704
Phone
3096639300
Fax
3096611670
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.