Organization · Type 2 NPI
Rejuv Integrative Medical Practice Shawn C Snider
Health Service Clinic/Center · Bloomington, IL
NPI number
1104186667
Active
Practice location
405 N Hershey Rd
Bloomington, IL 61704-3527
Fax (309) 263-4611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 036.110856 (IL) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
Other health service clinic/center providers in Bloomington
About NPI 1104186667
Rejuv Integrative Medical Practice Shawn C Snider's National Provider Identifier is 1104186667, issued on May 17, 2012. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Bloomington, IL. The record was last updated on May 17, 2012.