Contemporary Obstetrics & Gynecology Pc in Bloomington - Obstetrics & Gynecology
Contemporary Obstetrics & Gynecology Pc - NPI 1164616389
Contemporary Obstetrics & Gynecology Pc is a Obstetrics & Gynecology in Bloomington, Illinois. Contemporary Obstetrics & Gynecology Pc practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Contemporary Obstetrics & Gynecology Pc is 1164616389. The last update date is 2008-03-18.
Contemporary Obstetrics & Gynecology Pc's current location address is 2304 Stern Dr, Bloomington, Illinois. You can contact this provider via phone number 3096630411 and fax number 3096622018. The mailing address for Contemporary Obstetrics & Gynecology Pc is 2304 Stern Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Contemporary Obstetrics & Gynecology Pc |
|---|---|
| Address | 2304 Stern Dr, Bloomington, Illinois |
| Phone Number | 3096630411 |
| Fax Number | 3096622018 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dudley L Heather |
| Credentials | D.O. |
| Telephone Number | 3096630411 |
NPI Number Detail
| NPI Number | 1164616389 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2008-03-18 |
Provider Mailing Address Detail
| Address | 2304 Stern Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617044487 |
| Phone Number | 3096630411 |
| Fax Number | 3096622018 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5732148 | IL | BCBS GROUP | |
| 216064 | IL | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Contemporary Obstetrics & Gynecology Pc by the Centers for Medicare & Medicaid Services?
The Contemporary Obstetrics & Gynecology Pc has been issued the NPI (National Provider Identifier) 1164616389 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Contemporary Obstetrics & Gynecology Pc?
The Contemporary Obstetrics & Gynecology Pc is physically situated at 2304 Stern Dr, in the city of Bloomington, state of IL, with the postal code 617044487.
What is Contemporary Obstetrics & Gynecology Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Contemporary Obstetrics & Gynecology Pc's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207V00000X.
On what date did the Contemporary Obstetrics & Gynecology Pc receive the assignment of its 1164616389 from the Centers for Medicare & Medicaid Services?
The Contemporary Obstetrics & Gynecology Pc was issued its 1164616389 by the Centers for Medicare & Medicaid Services on 2007-08-30.
When was the information pertaining to Contemporary Obstetrics & Gynecology Pc most recently updated or revised?
The details related to Contemporary Obstetrics & Gynecology Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-18.