Organization · Type 2 NPI

Bloomington Radiology S C

Diagnostic Radiology Physician · Normal, IL

NPI number 1700831773 Active

Practice location

2200 Fort Jesse Rd, Suite 280
Normal, IL 61761-6286

Fax (309) 862-1302

Mailing address

PO Box 3668
Bloomington, IL 61702-3668

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100X042001755 (IL)
Neuroradiology Physician 2085N0700X042001755 (IL)
Nuclear Radiology Physician 2085N0904X042001755 (IL)
Diagnostic Radiology Physician Primary 2085R0202X042001755 (IL)
Vascular & Interventional Radiology Physician 2085R0204X042001755 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1700831773

Bloomington Radiology S C's National Provider Identifier is 1700831773, issued on May 24, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Normal, IL. The record was last updated on May 27, 2021.