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ADVANCED ORTHOPEDICS, PC
NPI 1508924051
Specialist in Peoria, IL

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: August 16, 2026.

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YIBING LI MD
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Peoria County (309) 689-8888
PATTI L ALLY
Audiologist-Hearing Aid Fitter
5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614
Peoria County (309) 282-0887
PROCTOR HEALTH SYSTEMS
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614
Peoria County (309) 691-7800
MS. BARBARA J NALL APN
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Peoria County (309) 692-5100
SUSAN GWILLIM PT
Physical Therapist
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Peoria County (309) 693-2244
MR. KEVIN M HENRY MD
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614
Peoria County (309) 692-7246
MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS
Nurse Practitioner (Family)
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
SUSAN J COLE, MD & ASSOCIATES
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614
Peoria County (309) 691-2311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Orthopedics, PC's NPI number?

The NPI number for Advanced Orthopedics, PC is 1508924051. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Advanced Orthopedics, PC located?

Advanced Orthopedics, PC is located at 5401 N Knoxville Ave Suite 400, Peoria, IL 61614. The listed phone number is (309) 692-6644.

What is Advanced Orthopedics, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Advanced Orthopedics, PC was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.