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COMPREHENSIVE ORTHOPEDICS, P. C.
NPI 1902040124
Specialist in Peoria, IL

Active since May 01, 2009
5401 NORTH KNOXVILLE AVE, SUITE 400, PEORIA, IL 61614(309) 692-6644(309) 692-8992 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Comprehensive Orthopedics, P. C. NPPES

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

COMPREHENSIVE ORTHOPEDICS, P. C. (NPI 1902040124) is a healthcare organization registered as a specialist in Peoria, Illinois and active in the NPI registry since May 2009. The organization lists George W. Lane, President, as its authorized official.

NPPES Registry Identity

NPI1902040124
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOMPREHENSIVE ORTHOPEDICS, P. C.
Location Address5401 NORTH KNOXVILLE AVE, SUITE 400Peoria, IL 61614-5021
Mailing Address5401 North Knoxville Ave, Suite 400Peoria, IL 61614-5021 · (309) 692-6644 · Fax (309) 692-8992
Phone(309) 692-6644
Fax(309) 692-8992
Organization SubpartNo
Authorized OfficialGeorge W. LanePresident · (309) 692-6644
Enumeration DateMay 1, 2009
Last NPPES UpdateMarch 18, 2010
✔ NPI 1902040124 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 NORTH KNOXVILLE AVE, Peoria, IL 61614
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Other Identifiers 7

Medicaid060007948IL
Other060007948IL · State License
Other368270100IL · Owcp Department Of Laborr
Other7230175IL · Blue Cross Blue Shield
OtherCH8612IL · Rr Medicare
Medicare PIN707840IL
Other050053IL · Health Alliance

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

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 Comprehensive Orthopedics, P. C.'s NPI number?

The NPI number for Comprehensive Orthopedics, P. C. is 1902040124. It was assigned to this organization in the NPPES registry on May 1, 2009.

Where is Comprehensive Orthopedics, P. C. located?

Comprehensive Orthopedics, P. C. is located at 5401 North Knoxville Ave Suite 400, Peoria, IL 61614. The listed phone number is (309) 692-6644.

What is Comprehensive Orthopedics, P. C.'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 Comprehensive Orthopedics, P. C. was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.