OrganizationActive
Orthopedics of Illinois - the Bone Joint and Sports Medicine Center S
NPI 1255635892 · Orthopaedic Surgery Physician · Normal, IL
Provider details
- NPI number
- 1255635892
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Stout, Administrator(309) 454-1616
- License
- 036108279 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2200 Fort Jesse Rd Ste 250
Normal, IL 61761-6290
Phone: (309) 454-1616
Street-level locationGet directions
Mailing address
2200 Fort Jesse Rd Ste 250
Normal, IL 61761-6290
Other names (DBA / former)
- Doing business as
- Ortho Illinois
Registry dates
- Enumerated
- 2010-12-22
- Last updated
- 2011-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.