Orthopedic and Sports Enhancement Center, LLC
Orthopedic and Sports Enhancement Center, LLC is a Specialist in Bloomington, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2406 E Empire StBloomington, IL 61704-3630
Phone: (309) 663-9300
Fax: (309) 661-1670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X |
Record details
| NPI number | 1003900820 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | J. Anthony Dustman — President · (309) 663-9300 |
| Other names | Sports Enhancement Center, Llc |
| NPI enumerated | October 3, 2006 |
| Last updated in NPPES | September 12, 2017 |
| Mailing address | 2406 E Empire St, Bloomington, IL 61704-3630 |
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Dennis L Lockhart, MD
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Andrew Lyons, MD
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Mycare Express Care Inc
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Annabelle L Ogerio, PT
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MS. Vicki Lynn Tilton, COSMETICTECHNICIAN
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Dr. Kaye Harms Toohill, MD
306 Saint Joseph Dr, Bloomington, IL 61701-3506 · (309) 663-2354
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Dr. Mark Steven Ulbrich, MD
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Vicki Tilton, LLC
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