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Export Provider Record NPI 1063420248
Mclean County Orthopedics, Ltd
Organization Subpart: NO
Active
NPI Number1063420248
NPI TypeNPI-2 Organization
SpecialtyOrthopaedic Surgery
Provider Details
NPI1063420248
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-08-04
Last Updated2016-09-14
Authorized OfficialJerome Oakey
President
Phone: 3096636461
Mailing Address1111 Trinity Lane, Suite 111
Bloomington, IL 61704-3738
United States
Phone: (309) 663-6461 | Fax: (309) 663-5711
📍 View Map
Primary Practice Address1111 Trinity Lane, Suite 111
Bloomington, IL 61704-3738
United States
Phone: (309) 663-6461 | Fax: (309) 663-5711
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208100000X – Physical Medicine & Rehabilitation--
No208VP0014X – Pain Medicine, Interventional Pain Medicine--
No225100000X – Physical Therapist--
No225X00000X – Occupational Therapist--
No363L00000X – Nurse Practitioner--
Yes207X00000X – Orthopaedic Surgery--
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About NPI 1063420248

Mclean County Orthopedics, Ltd is an organization registered in the CMS NPPES NPI Registry with NPI number 1063420248. The primary specialty listed is Orthopaedic Surgery. The organization is located in Bloomington, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063420248?

NPI 1063420248 belongs to Mclean County Orthopedics, Ltd, a Orthopaedic Surgery in Bloomington, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063420248 active?

The current status of NPI 1063420248 in the NPPES registry is Active. The record was last updated on 2016-09-14.

What specialty is NPI 1063420248?

NPI 1063420248 is classified under the taxonomy Orthopaedic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063420248?

You can verify NPI 1063420248 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063420248?

The primary practice address on file for NPI 1063420248 is 1111 Trinity Lane, Bloomington, IL 61704-3738. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063420248 issued?

NPI 1063420248 was first issued (enumerated) on 2006-08-04. The NPPES record was last updated on 2016-09-14.

Practice Location Map

Mclean County Orthopedics, Ltd is located at 1111 Trinity Lane, Bloomington, IL. Use the map below to find directions or verify the practice location.

📍 1111 Trinity Lane, Bloomington, IL 61704-3738  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mclean County Orthopedics, Ltd. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-01 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162