institution
Eastland Medical Plaza Surgicenter, Llc
Ambulatory Surgical Clinic/Center in Bloomington, Illinois
NPI 1699751289

Eastland Medical Plaza Surgicenter, Llc is an Ambulatory Surgical Clinic/Center based in Bloomington, IL and is specialized in Ambulatory Surgical. Eastland Medical Plaza Surgicenter, Llc practices in Bloomington, IL. The NPI Number for Eastland Medical Plaza Surgicenter, Llc is 1699751289 and holds a License No. 7002413 (Illinois).

The current practice location address for Eastland Medical Plaza Surgicenter, Llc is 1505 Eastland Dr, Bloomington, IL and can be reached out via phone at 309-663-1997 and via fax at 309-662-9527.

Location: 1505 Eastland Dr, Bloomington, IL, 61701-3534
institution
Provider Profile Details
NPI Number
1699751289
Provider Name
Eastland Medical Plaza Surgicenter, Llc
Credential
Provider Entity Type
Organization
Address
1505 Eastland Dr, Bloomington, IL, 61701-3534
Phone Number
309-663-1997
Fax Number
309-662-9527
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7002413 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1505 Eastland Dr
City
State
Zip
61701-3534
Phone Number
309-663-1997
Fax Number
309-662-9527
person
Provider Business Mailing Address Details
Address
1505 Eastland Dr
City
State
Zip
61701-3534
Phone Number
309-663-1997
Fax Number
309-662-9527
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
7002413 (Illinois)
Definition
Definition to come...
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