Mclean County Neurology Sc in Bloomington - Neurology
Mclean County Neurology Sc - NPI 1760431712
Mclean County Neurology Sc is a Neurology in Bloomington, Illinois. Mclean County Neurology Sc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Mclean County Neurology Sc is 1760431712. The last update date is 2008-06-05.
Mclean County Neurology Sc's current location address is 2204 Eastland Dr, Bloomington, Illinois. You can contact this provider via phone number 3096629461. The mailing address for Mclean County Neurology Sc is 2204 Eastland Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mclean County Neurology Sc |
|---|---|
| Address | 2204 Eastland Dr, Bloomington, Illinois |
| Phone Number | 3096629461 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Dick Justus Herman |
| Credentials | MD |
| Telephone Number | 3096629461 |
NPI Number Detail
| NPI Number | 1760431712 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 2204 Eastland Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617043566 |
| Phone Number | 3096629461 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
|
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CF6543 | IL | MEDID | |
| 5715381 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mclean County Neurology Sc?
The Mclean County Neurology Sc has been issued the NPI (National Provider Identifier) 1760431712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mclean County Neurology Sc's physical address?
The Mclean County Neurology Sc is physically located at 2204 Eastland Dr, in the city of Bloomington, IL, with the postal code 617043566.
What is Mclean County Neurology Sc's area of expertise and its corresponding taxonomy classification?
The Mclean County Neurology Sc's field of specialization is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760431712 to Mclean County Neurology Sc?
The Centers for Medicare & Medicaid Services originally issued the 1760431712 to Mclean County Neurology Sc on 2006-05-08.
As of what date were the details pertaining to Mclean County Neurology Sc last refreshed?
The information related to the Mclean County Neurology Sc, including its address, specialty, and other relevant details, was last updated on 2008-06-05.
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