institution
Bloomington Normal Healthcare, Llc
Ambulatory Surgical Clinic/Center in Normal, Illinois
NPI 1083613327

Bloomington Normal Healthcare, Llc is an Ambulatory Surgical Clinic/Center based in Normal, IL and is specialized in Ambulatory Surgical. Bloomington Normal Healthcare, Llc practices in Normal, IL. The NPI Number for Bloomington Normal Healthcare, Llc is 1083613327 and holds a License No. 7002512 (Illinois).

The current practice location address for Bloomington Normal Healthcare, Llc is 2100 Fort Jesse Rd, Normal, IL and can be reached out via phone at 309-834-4000 and via fax at 309-834-4007.

Location: 2100 Fort Jesse Rd, Normal, IL, 61761-9370
institution
Provider Profile Details
NPI Number
1083613327
Provider Name
Bloomington Normal Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
2100 Fort Jesse Rd, Normal, IL, 61761-9370
Phone Number
309-834-4000
Fax Number
309-834-4007
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50181 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
2100 Fort Jesse Rd
City
State
Zip
61761-9370
Phone Number
309-834-4000
Fax Number
309-834-4007
person
Provider Business Mailing Address Details
Address
2100 Fort Jesse Rd
City
State
Zip
61761-9370
Phone Number
309-834-4000
Fax Number
309-834-4007
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
7002512 (Illinois)
Definition
Definition to come...
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