institution
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.

Location: 1709 Jumer Dr, Bloomington, IL, 63131-1839
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
State
Zip
61704-0909
Phone Number
309-664-6808
Fax Number
309-664-6809
person
Provider Business Mailing Address Details
Address
1709 Jumer Dr
City
State
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
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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