ADVANCED ORTHOPEDICS, PC
NPI 1508924051
Specialist in Peoria, IL

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since December 05, 2006

5401 N KNOXVILLE AVE, SUITE 400, PEORIA, IL 61614(309) 692-6644(309) 692-3052 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Advanced Orthopedics, Pc NPPES

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

ADVANCED ORTHOPEDICS, PC (NPI 1508924051) is a healthcare organization registered as a specialist in Peoria, Illinois and active in the NPI registry since December 2006. The organization lists George W. Lane, President, as its authorized official.

NPPES Registry Identity

NPI1508924051

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameADVANCED ORTHOPEDICS, PC

Location Address5401 N KNOXVILLE AVE, SUITE 400Peoria, IL 61614-5098

Mailing Address5401 N Knoxville Ave, Suite 400Peoria, IL 61614-5098 · (309) 692-6644 · Fax (309) 692-3052

Phone(309) 692-6644

Fax(309) 692-3052

Organization SubpartNo

Authorized OfficialGeorge W. LanePresident · (309) 692-6644

Enumeration DateDecember 5, 2006

Last NPPES UpdateDecember 12, 2007

✔ NPI 1508924051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 060007948

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5401 N KNOXVILLE AVE, Peoria, IL 61614

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Other Identifiers 6

Medicare PIN707840IL

Other050053IL · Health Alliance

Other060007948IL · State License

OtherCH8612IL · Rr Medicare

Other7230175IL · Blue Cross Blue Shield

Other368270100IL · Owcp Department Of Labor

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