Surgical Associates Of Bloomington, Ill,Ltd in Bloomington - Surgery
Surgical Associates Of Bloomington, Ill,Ltd - NPI 1447355383
Surgical Associates Of Bloomington, Ill,Ltd is a Surgery in Bloomington, Illinois. Surgical Associates Of Bloomington, Ill,Ltd practices all healthcare services and medical treatments related to Surgery. The NPI Number for Surgical Associates Of Bloomington, Ill,Ltd is 1447355383. The last update date is 2011-02-01.
Surgical Associates Of Bloomington, Ill,Ltd's current location address is 1404 Eastland Drive, Bloomington, Illinois. You can contact this provider via phone number 3096634351 and fax number 3096638359. The mailing address for Surgical Associates Of Bloomington, Ill,Ltd is 1404 Eastland Drive, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surgical Associates Of Bloomington, Ill,Ltd |
|---|---|
| Address | 1404 Eastland Drive, Bloomington, Illinois |
| Phone Number | 3096634351 |
| Fax Number | 3096638359 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Raines A. Lawrence |
| Credentials | MD |
| Telephone Number | 3096634351 |
NPI Number Detail
| NPI Number | 1447355383 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2011-02-01 |
Provider Mailing Address Detail
| Address | 1404 Eastland Drive |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 61701 |
| Phone Number | 3096634351 |
| Fax Number | 3096638359 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the Surgical Associates Of Bloomington, Ill,Ltd's 1447355383?
The Surgical Associates Of Bloomington, Ill,Ltd's NPI (National Provider Identifier) Number is 1447355383. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Surgical Associates Of Bloomington, Ill,Ltd's physical address?
The Surgical Associates Of Bloomington, Ill,Ltd is physically located at 1404 Eastland Drive, in the city of Bloomington, IL, with the postal code 61701.
What is the Surgical Associates Of Bloomington, Ill,Ltd's specialty and taxonomy code?
The Surgical Associates Of Bloomington, Ill,Ltd's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When did the Surgical Associates Of Bloomington, Ill,Ltd receive its 1447355383?
The Surgical Associates Of Bloomington, Ill,Ltd was issued its 1447355383 on 2006-09-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Surgical Associates Of Bloomington, Ill,Ltd most recently updated or revised?
The information pertaining to Surgical Associates Of Bloomington, Ill,Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-01.
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