CENTRAL ILLINOIS NEURORADIOLOGY LTD NPI 1881641371

NPI Information

CENTRAL ILLINOIS NEURORADIOLOGY, LTD is a specialist in Bloomington, IL. The provider is 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. CENTRAL ILLINOIS NEURORADIOLOGY, LTD NPI is 1881641371. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1709 JUMER DR
SUITE B
BLOOMINGTON, IL
ZIP 61704-909
Phone: (309) 664-6808
Fax: (309) 664-6809

The provider's authorized official is Dexter Hall .
The authorized official title is Manager and has the following contact phone number (314) 821-5600.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/23/2007.

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:

Other Identifiers

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