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Victoria J Brockhouse, DO
Family Medicine Physician in Bloomington, Illinois
NPI 1790744555

Victoria J Brockhouse is a Family Medicine Physician based in Normal, IL. Victoria J Brockhouse practices in Bloomington, IL and has the professional credentials of DO. The NPI Number for Victoria J Brockhouse is 1790744555 and holds a License No. 336.043935 (Illinois).

The current practice location address for Victoria J Brockhouse is 702 W Chestnut St, Bloomington, IL and can be reached out via phone at 309-567-1400 and via fax at 309-557-1461.

Location: 702 W Chestnut St, Bloomington, IL, 61790-2540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790744555
Provider Name
Victoria J Brockhouse
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
702 W Chestnut St, Bloomington, IL, 61790-2540
Phone Number
309-567-1400
Fax Number
309-557-1461
Provider Enumeration Date
03/21/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036081580 01 STATE LIC
833120 01 IL MEDICARE GROUP
036081580 05 IL
080040113 01 IL RR MEDICARE GROUP PTAN
CA2264 01 RR MEDICARE GROUP PTAN
336043935 01 CONT SUBS
institution
Provider Business Practice Location Address Details
Address
702 W Chestnut St
City
Bloomington
State
Illinois
Zip
61701-2814
Phone Number
309-567-1400
Fax Number
309-557-1461
person
Provider Business Mailing Address Details
Address
702 W Chestnut St
City
Bloomington
State
Illinois
Zip
61701-2814
Phone Number
309-567-1400
Fax Number
309-557-1461
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
336.043935 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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