Central Illinois Pediatric Associates Llc in Bloomington - Primary Care
Central Illinois Pediatric Associates Llc - NPI 1174706816
Central Illinois Pediatric Associates Llc is a Primary Care in Bloomington, Illinois. Central Illinois Pediatric Associates Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Central Illinois Pediatric Associates Llc is 1174706816. The last update date is 2007-12-17.
Central Illinois Pediatric Associates Llc's current location address is 2427 Maloney Drive, Bloomington, Illinois. You can contact this provider via phone number 3096631011. The mailing address for Central Illinois Pediatric Associates Llc is 2427 Maloney Drive, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Central Illinois Pediatric Associates Llc |
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Address | 2427 Maloney Drive, Bloomington, Illinois |
Phone Number | 3096631011 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Saxena Sanjay |
Credentials | M.D. |
Telephone Number | 3096631011 |
NPI Number Detail
NPI Number | 1174706816 |
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Provider Enumeration Date | 2007-12-17 |
Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
Address | 2427 Maloney Drive |
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City | Bloomington |
State | Illinois (IL) |
Post Code | 617043750 |
Phone Number | 3096631011 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Primary Care |
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Taxonomy | 261Qp2300X |
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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What is the unique identifier code issued to Central Illinois Pediatric Associates Llc by the Centers for Medicare & Medicaid Services?
The Central Illinois Pediatric Associates Llc has been assigned the NPI (National Provider Identifier) 1174706816. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Central Illinois Pediatric Associates Llc is physically located?
The Central Illinois Pediatric Associates Llc is physically situated at the following address: 2427 Maloney Drive, Bloomington, IL, 617043750.
What is the Central Illinois Pediatric Associates Llc's specialty and taxonomy code?
The Central Illinois Pediatric Associates Llc's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174706816 to Central Illinois Pediatric Associates Llc?
The Central Illinois Pediatric Associates Llc received its 1174706816 assignment from the Centers for Medicare & Medicaid Services on 2007-12-17.
When was the Central Illinois Pediatric Associates Llc's information last updated?
The Central Illinois Pediatric Associates Llc's information was last updated on 2007-12-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY