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

Orthopedic & Sports Medicine Center

Organization Physical Medicine & Rehabilitation Physician · NPI 1366534083

Orthopedic & Sports Medicine Center is a Physical Medicine & Rehabilitation Physician in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

2200 Fort Jesse Rd Ste 250
Normal, IL 61761-6290
Phone: (309) 454-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 042-616684 (IL)

Record details

NPI number1366534083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregg Chadwick — Chief Operating Officer · (309) 454-1616
NPI enumeratedSeptember 29, 2006
Last updated in NPPESNovember 19, 2008
Mailing address2200 Fort Jesse Rd Ste 250, Normal, IL 61761-6290

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