Organization · Type 2 NPI
Bloomington Normal Healthcare, LLC
Ambulatory Surgical Clinic/Center · Normal, IL
NPI number
1083613327
Active
Practice location
2100 Fort Jesse Rd
Normal, IL 61761-9370
Fax (309) 834-4007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 7002512 (IL) |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
Other ambulatory surgical clinic/center providers in Normal
About NPI 1083613327
Bloomington Normal Healthcare, LLC's National Provider Identifier is 1083613327, issued on Jul 19, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Normal, IL. The record was last updated on Aug 22, 2020.