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PAUL NORD NPI 1346333689


NPI Information

NPI: 1346333689
Provider Name: PAUL NORD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
308 SAINT JOSEPH DR
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 663-5050
Get Directions

Paul Nord is a family medicine in Bloomington, IL. The provider is 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. Paul Nord NPI is 1346333689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

308 SAINT JOSEPH DR
BLOOMINGTON, IL
ZIP 61701-506
Phone: (309) 663-5050
Fax: (309) 663-3401

The enumeration date for this NPI number is 10/1/2006 and was last updated on 12/31/2013.


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
1173000000XLegal Medicine036-054760ILLINOISNo
22083X0100XPreventive MedicineOccupational Medicine036-054760ILLINOISNo
3207Q00000XFamily Medicine036-054760ILLINOISYes

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
1080016047MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR INDIVIDUAL #
2633440MEDICARE ID-TYPE UNSPECIFIEDILLINOISINDIVIDUAL #
3961850MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP #
4036054760MEDICAIDILLINOIS
5D14101MEDICARE UPINILLINOIS
6CA2264MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR GROUP #

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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