Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Belleville Orthopedics, PC

Organization Specialist · NPI 1275618480

Belleville Orthopedics, PC is a Specialist in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4550 Memorial Dr Ste 460
Belleville, IL 62226-5359
Phone: (618) 235-2900
Fax: (618) 235-2902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036085921 (IL)

Record details

NPI number1275618480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harvey Mirly — Owner/President · (618) 235-2900
NPI enumeratedOctober 26, 2006
Last updated in NPPESJanuary 15, 2009
Mailing address4550 Memorial Dr, Suite 460, Belleville, IL 62226-5359

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