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

Orthopedic & Sports Medicine Center

Organization Orthopaedic Surgery Physician · NPI 1972611044

Orthopedic & Sports Medicine Center is an Orthopaedic Surgery 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

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 042-616684 (IL)

Record details

NPI number1972611044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Stout — Chief Operating Officer · (309) 454-1616
NPI enumeratedAugust 28, 2006
Last updated in NPPESMarch 23, 2011
Mailing addressPo Box 1645, Bloomington, IL 61702-1645

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