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Bloomington Pediatrics And Allergy Ltd
Specialist in Bloomington, Illinois
NPI 1053506352

Bloomington Pediatrics And Allergy Ltd is a Specialist based in Bloomington, IL. Bloomington Pediatrics And Allergy Ltd practices in Bloomington, IL. The NPI Number for Bloomington Pediatrics And Allergy Ltd is 1053506352 and holds a License No. 036058820 (Illinois).

The current practice location address for Bloomington Pediatrics And Allergy Ltd is 306 Saint Joseph Dr, Bloomington, IL and can be reached out via phone at 309-663-2354 and via fax at 309-662-8602.

Location: 306 Saint Joseph Dr, Bloomington, IL, 61701-3506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053506352
Provider Name
Bloomington Pediatrics And Allergy Ltd
Credential
Provider Entity Type
Organization
Address
306 Saint Joseph Dr, Bloomington, IL, 61701-3506
Phone Number
309-663-2354
Fax Number
309-662-8602
Provider Enumeration Date
09/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036058820 05 IL
036075395 05 IL
036090475 05 IL
036115725 05 IL
036094964 05 IL
036060449 05 IL
036078523 05 IL
036097491 05 IL
institution
Provider Business Practice Location Address Details
Address
306 Saint Joseph Dr
City
Bloomington
State
Illinois
Zip
61701-3506
Phone Number
309-663-2354
Fax Number
309-662-8602
person
Provider Business Mailing Address Details
Address
306 Saint Joseph Dr
City
Bloomington
State
Illinois
Zip
61701-3506
Phone Number
309-663-2354
Fax Number
309-662-8602
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036058820 (Illinois)
Definition
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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