institution
Chad Tattini, Md Llc
Medical Specialty Clinic/Center in Bloomington, Illinois
NPI 1598951063

Chad Tattini, Md Llc is a Medical Specialty Clinic/Center based in Bloomington, IL and is specialized in Medical Specialty. Chad Tattini, Md Llc practices in Bloomington, IL. The NPI Number for Chad Tattini, Md Llc is 1598951063 and holds a License No. 036110975 (Illinois).

The current practice location address for Chad Tattini, Md Llc is 2502 C Empire Street, Bloomington, IL and can be reached out via phone at 309-664-1007 and via fax at 309-664-5006.

Location: 2502 C Empire Street, Bloomington, IL, 61704
institution
Provider Profile Details
NPI Number
1598951063
Provider Name
Chad Tattini, Md Llc
Credential
Provider Entity Type
Organization
Address
2502 C Empire Street, Bloomington, IL, 61704
Phone Number
309-664-1007
Fax Number
309-664-5006
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
094439 01 IL HEALTH ALLIANCE
5732052 01 IL BLUE CROSS BLUE SHIELD
036110975 05 IL
P00169439 01 IL RAILROAD MEDICARE
681561 01 IL HEALTH LINK
institution
Provider Business Practice Location Address Details
Address
2502 C Empire Street
City
State
Zip
61704
Phone Number
309-664-1007
Fax Number
309-664-5006
person
Provider Business Mailing Address Details
Address
2502 C Empire Street
City
State
Zip
61704
Phone Number
309-664-1007
Fax Number
309-664-5006
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
036110975 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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