Individual provider · Type 1 NPI

Herman Justis Dick Jr., MD

Specialist · Bloomington, IL

NPI number 1891891370 Active

Practice location

2204 Eastland Dr
Bloomington, IL 61704-3566

Call (309) 662-9461 Map

Fax (309) 663-0222

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036056374 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891891370

Herman Justis Dick Jr., MD's National Provider Identifier is 1891891370, issued on Sep 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bloomington, IL. The record was last updated on May 21, 2008.