institution
Ireland Grove Center For Surgery Llc.
Ambulatory Surgical Clinic/Center in Bloomington, Illinois
NPI 1750567442

Ireland Grove Center For Surgery Llc. is an Ambulatory Surgical Clinic/Center based in Bloomington, IL and is specialized in Ambulatory Surgical. Ireland Grove Center For Surgery Llc. practices in Bloomington, IL. The NPI Number for Ireland Grove Center For Surgery Llc. is 1750567442 and holds a License No. (Illinois).

The current practice location address for Ireland Grove Center For Surgery Llc. is 3801 Ireland Grove Road, Bloomington, IL and can be reached out via phone at 309-664-0101 and via fax at 309-664-1010.

Location: 3801 Ireland Grove Road, Bloomington, IL, 61704
institution
Provider Profile Details
NPI Number
1750567442
Provider Name
Ireland Grove Center For Surgery Llc.
Credential
Provider Entity Type
Organization
Address
3801 Ireland Grove Road, Bloomington, IL, 61704
Phone Number
309-664-0101
Fax Number
309-664-1010
Provider Enumeration Date
01/14/2008
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538168786 01 IL NPI
1760543615 01 IL NPI
1992813174 01 IL NPI
1558347310 01 IL NPI
1164419818 01 IL NPI
1285633420 01 IL NPI
IL1464 01 IL PTAN
institution
Provider Business Practice Location Address Details
Address
3801 Ireland Grove Road
City
State
Zip
61704
Phone Number
309-664-0101
Fax Number
309-664-1010
person
Provider Business Mailing Address Details
Address
3801 Ireland Grove Road
City
State
Zip
61704
Phone Number
309-664-0101
Fax Number
309-664-1010
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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