Organization · Type 2 NPI
Central Illinois Pediatric Associates LLC
Primary Care Clinic/Center · Bloomington, IL
NPI number
1174706816
Active
Practice location
2427 Maloney Dr
Bloomington, IL 61704-3750
Mailing address
2427 Maloney Drive
Bloomington, IL 61704-3750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Bloomington
About NPI 1174706816
Central Illinois Pediatric Associates LLC's National Provider Identifier is 1174706816, issued on Dec 17, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bloomington, IL. The record was last updated on Dec 17, 2007.