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Mid-central Ill Gastro
Gastroenterology Physician in Normal, Illinois
NPI 1992845358

Mid-central Ill Gastro is a Gastroenterology Physician based in Normal, IL and is specialized in Gastroenterology. Mid-central Ill Gastro practices in Normal, IL. The NPI Number for Mid-central Ill Gastro is 1992845358 and holds a License No. (Illinois).

The current practice location address for Mid-central Ill Gastro is 2200 Jacobssen Dr, Normal, IL and can be reached out via phone at 309-451-1123 and via fax at 309-451-1212.

Location: 2200 Jacobssen Dr, Normal, IL, 61761-5516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992845358
Provider Name
Mid-central Ill Gastro
Credential
Provider Entity Type
Organization
Address
2200 Jacobssen Dr, Normal, IL, 61761-5516
Phone Number
309-451-1123
Fax Number
309-451-1212
Provider Enumeration Date
02/07/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360818161 05 IL
05725403 01 IL BLUECROSS BLUESHIELD
0360788251 05 IL
institution
Provider Business Practice Location Address Details
Address
2200 Jacobssen Dr
City
Normal
State
Illinois
Zip
61761-5516
Phone Number
309-451-1123
Fax Number
309-451-1212
person
Provider Business Mailing Address Details
Address
2200 Jacobssen Dr
City
Normal
State
Illinois
Zip
61761-5516
Phone Number
309-451-1123
Fax Number
309-451-1212
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
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Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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