institution
Gastrointestinal Institute, Llc.
Ambulatory Surgical Clinic/Center in Normal, Illinois
NPI 1174670723

Gastrointestinal Institute, Llc. is an Ambulatory Surgical Clinic/Center based in Normal, IL and is specialized in Ambulatory Surgical. Gastrointestinal Institute, Llc. practices in Normal, IL. The NPI Number for Gastrointestinal Institute, Llc. is 1174670723 and holds a License No. 7003056 (Illinois).

The current practice location address for Gastrointestinal Institute, Llc. is 2200 Jacobssen Dr Ste A, Normal, IL and can be reached out via phone at 309-451-1121 and via fax at 309-451-1212.

Location: 2200 Jacobssen Dr Ste A, Normal, IL, 61761-5516
institution
Provider Profile Details
NPI Number
1174670723
Provider Name
Gastrointestinal Institute, Llc.
Credential
Provider Entity Type
Organization
Address
2200 Jacobssen Dr Ste A, Normal, IL, 61761-5516
Phone Number
309-451-1121
Fax Number
309-451-1212
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50492 01 IL BLUECROSSBLUESHIELD OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
2200 Jacobssen Dr Ste A
City
State
Zip
61761-5516
Phone Number
309-451-1121
Fax Number
309-451-1212
person
Provider Business Mailing Address Details
Address
2200 Jacobssen Dr Ste A
City
State
Zip
61761-5516
Phone Number
309-451-1121
Fax Number
309-451-1212
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
7003056 (Illinois)
Definition
Definition to come...
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