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

Orthopedics of Illinois - the Bone Joint and Sports Medicine Center S

Organization Orthopaedic Surgery Physician · NPI 1255635892

Orthopedics of Illinois - the Bone Joint and Sports Medicine Center S is an Orthopaedic Surgery Physician in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

2200 Fort Jesse Rd Ste 250
Normal, IL 61761-6290
Phone: (309) 454-1616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036108279 (IL)

Record details

NPI number1255635892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Stout — Administrator · (309) 454-1616
Other names Ortho Illinois
NPI enumeratedDecember 22, 2010
Last updated in NPPESJuly 7, 2011
Mailing address2200 Fort Jesse Rd Ste 250, Normal, IL 61761-6290

Other providers in Normal