Organization · Type 2 NPI
Eastland Medical Plaza Surgicenter, LLC
Ambulatory Surgical Clinic/Center · Bloomington, IL
NPI number
1699751289
Active
Practice location
1505 Eastland Dr
Bloomington, IL 61701-3534
Fax (309) 662-9527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 7002413 (IL) |
Ambulatory Surgical Clinic/Center: Definition to come...
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Other ambulatory surgical clinic/center providers in Bloomington
About NPI 1699751289
Eastland Medical Plaza Surgicenter, LLC's National Provider Identifier is 1699751289, issued on Dec 16, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Bloomington, IL. The record was last updated on Jan 6, 2010.