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Central Illinois Neuroradiology, Ltd
Specialist in Bloomington, Illinois
NPI 1881641371

Central Illinois Neuroradiology, Ltd is a Specialist based in Saint Louis, IL. Central Illinois Neuroradiology, Ltd practices in Bloomington, IL. The NPI Number for Central Illinois Neuroradiology, Ltd is 1881641371 and holds a License No. (Illinois).

The current practice location address for Central Illinois Neuroradiology, Ltd is 1709 Jumer Dr, Bloomington, IL and can be reached out via phone at 309-664-6808 and via fax at 309-664-6809. You can also correspond with Central Illinois Neuroradiology, Ltd through the mailing address at 1715 DEER TRACKS TRL, SAINT LOUIS, MO - 63131-1839 (mailing address contact number: 314-821-5600).

Location: 1709 Jumer Dr, Bloomington, IL, 63131-1839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881641371
Provider Name
Central Illinois Neuroradiology, Ltd
Credential
Provider Entity Type
Organization
Address
1709 Jumer Dr, Bloomington, IL, 63131-1839
Phone Number
309-664-6808
Fax Number
309-664-6809
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5723741 01 IL BCBS GROUP #
CH0689 01 IL RAILROAD MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
1709 Jumer Dr
City
Bloomington
State
Illinois
Zip
61704-0909
Phone Number
309-664-6808
Fax Number
309-664-6809
person
Provider Business Mailing Address Details
Address
1709 Jumer Dr
City
Bloomington
State
Illinois
Zip
61704-0909
Phone Number
309-664-6808
Fax Number
309-664-6809
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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