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NORD OBSTETRICS AND GYNECOLOGY SC NPI 1043217771


NPI Information

NPI: 1043217771
Provider Name: NORD OBSTETRICS AND GYNECOLOGY, SC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1505 EASTLAND DR
#230
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 663-8888
Get Directions

NORD OBSTETRICS AND GYNECOLOGY, SC is an obstetrics gynecology in Bloomington, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NORD OBSTETRICS AND GYNECOLOGY, SC NPI is 1043217771. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 EASTLAND DR
#230
BLOOMINGTON, IL
ZIP 61701-534
Phone: (309) 663-8888
Fax: (309) 663-9544

The provider's authorized official is Daniel A Nord .
The authorized official title is Owner/medical Doctor and has the following contact phone number (309) 663-8888.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 6/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology=========ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036064021MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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