Princeton Orthopedic Clinic, SC
Organization Active NPI Medical Specialty Clinic/Center · Buda, IL
NPI 1104014158 · NPPES record last updated Oct 3, 2007
Key facts
- NPI
- 1104014158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- PRINCETON ORTHOPEDIC CLINIC, SC
- Practice address
- 9291 Il Highway 40
Buda, IL 61314-9451 - Phone
- (309) 895-1052
- NPI assigned
- Oct 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James Howard Wilson MD, MD
- Title
- Ceo
- Phone
- (309) 895-1052
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
9291 Il Highway 40
Buda, IL 61314-9451
Mailing address
9291 Il Highway 40
Buda, IL 61314-9451
Phone (309) 895-1052
Other providers in Buda, IL
All providers in Buda, IL · Medical Specialty Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.