ORTHO ILLINOIS
NPI 1255635892
Orthopaedic Surgery in Normal, IL

Q: What is Orthopedics Of Illinois - The Bone Joint And Sports Medicine Center S's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since December 22, 2010

2200 FORT JESSE RD STE 250, NORMAL, IL 61761(309) 454-1616 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ortho Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHO ILLINOIS (NPI 1255635892) is a healthcare organization registered as an orthopaedic surgery in Normal, Illinois and active in the NPI registry since December 2010. The organization lists Stephen Stout, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255635892

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameORTHOPEDICS OF ILLINOIS - THE BONE JOINT AND SPORTS MEDICINE CENTER S

Location Address2200 FORT JESSE RD STE 250Normal, IL 61761-6290

Mailing Address2200 Fort Jesse Rd Ste 250Normal, IL 61761-6290 · (309) 454-1616 · Fax (309) 454-5167

Phone(309) 454-1616

Organization SubpartNo

Authorized OfficialStephen StoutAdministrator · (309) 454-1616

Enumeration DateDecember 22, 2010

Last NPPES UpdateJuly 7, 2011

✔ NPI 1255635892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 036108279

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2200 FORT JESSE RD STE 250, Normal, IL 61761

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Other Names 1

Doing Business AsOrtho Illinois

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ortho Illinois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Ortho Illinois, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.