Bloomington Normal Ear Nose Throat Ltd in Bloomington - Otolaryngology
Bloomington Normal Ear Nose Throat Ltd - NPI 1114038528
Bloomington Normal Ear Nose Throat Ltd is a Otolaryngology in Bloomington, Illinois. Bloomington Normal Ear Nose Throat Ltd practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Bloomington Normal Ear Nose Throat Ltd is 1114038528. The last update date is 2008-04-20.
Bloomington Normal Ear Nose Throat Ltd's current location address is 1404 Eastland Dr Ste 209, Bloomington, Illinois. You can contact this provider via phone number 3066623277 and fax number 3096630845. The mailing address for Bloomington Normal Ear Nose Throat Ltd is 1404 Eastland Dr Ste 209, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bloomington Normal Ear Nose Throat Ltd |
|---|---|
| Address | 1404 Eastland Dr Ste 209, Bloomington, Illinois |
| Phone Number | 3066623277 |
| Fax Number | 3096630845 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Klimkewicz Ann |
| Telephone Number | 3096623277 |
NPI Number Detail
| NPI Number | 1114038528 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 1404 Eastland Dr Ste 209 |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617017904 |
| Phone Number | 3066623277 |
| Fax Number | 3096630845 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5732023 | BC/BS AUDIOLOGY | ||
| 5700224 | BLUE CROSS/BLUE SHIELD | ||
| 330606647-001 | IL | AUDIOLOGY |
Post Comment/ Review Below
Could you share the physical location details of Bloomington Normal Ear Nose Throat Ltd?
The Bloomington Normal Ear Nose Throat Ltd is situated at 1404 Eastland Dr Ste 209, in the city of Bloomington, state of IL, with the zip code 617017904.
Could you please share the complete physical address where Bloomington Normal Ear Nose Throat Ltd is geographically located?
The Bloomington Normal Ear Nose Throat Ltd is physically situated at the following location: 1404 Eastland Dr Ste 209, Bloomington, IL, 617017904.
What is Bloomington Normal Ear Nose Throat Ltd's area of expertise and its corresponding taxonomy classification?
The Bloomington Normal Ear Nose Throat Ltd's field of specialization is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their areas of practice.
When did Bloomington Normal Ear Nose Throat Ltd receive its 1114038528 assignment?
The Bloomington Normal Ear Nose Throat Ltd was assigned its 1114038528 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bloomington Normal Ear Nose Throat Ltd last refreshed?
The information related to the Bloomington Normal Ear Nose Throat Ltd, including its address, specialty, and other relevant details, was last updated on 2008-04-20.