| Organization Name: | ORA ORTHOPEDICS PC |
| NPI Number: | 1114998416 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH BROCKMAN (CEO) |
| Mailing Address: | 855 Illini Dr Suite 204 Silvis |
| State: | IL US |
| Postal Code: | 612822904 |
| Phone Number: | 3097927007 |
| Fax Number: | 3097927884 |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 12/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |