Bloomington Pediatrics And Allergy Ltd

LBN: Bloomington Pediatrics And Allergy Ltd
Bloomington Pediatrics And Allergy Ltd is an health care organization with primary practice located at 306 Saint Joseph Dr , Bloomington IL 61701-3506. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bloomington Pediatrics And Allergy Ltd can be contacted via phone (309) 663-2354, or through Labounty, Susan Lynne via phone (309) 663-2354.

Contact Information

Primary practice address
306 Saint Joseph Dr Bloomington IL 61701-3506
Phone: (309) 663-2354
Fax: (309) 662-8602
Website:
Map and Directions
Authorized official contact:
Name: Labounty, Susan Lynne
Phone: (309) 663-2354

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036058820 Illinois

Profile Details

NPI number 1053506352
LBN Legal business name Bloomington Pediatrics And Allergy Ltd
DBA Doing business as
Authorized official Labounty, Susan Lynne
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2007
Last updated Mar 27th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053506352 NPPES
Illinois MEDICAID 036058820
Illinois MEDICAID 036075395
Illinois MEDICAID 036090475
Illinois MEDICAID 036115725
Illinois MEDICAID 036094964
Illinois MEDICAID 036060449
Illinois MEDICAID 036078523
Illinois MEDICAID 036097491

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