Central Illinois Neuroradiology, Ltd

LBN: Central Illinois Neuroradiology, Ltd
Central Illinois Neuroradiology, Ltd is an health care organization with primary practice located at 1709 Jumer Dr Suite B, Bloomington IL 61704-0909. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Central Illinois Neuroradiology, Ltd can be contacted via phone (309) 664-6808, or through Hall, Dexter via phone (314) 821-5600.

Contact Information

Primary practice address
1709 Jumer Dr Suite B Bloomington IL 61704-0909
Phone: (309) 664-6808
Fax: (309) 664-6809
Website:
Map and Directions
Authorized official contact:
Name: Hall, Dexter
Phone: (314) 821-5600

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1881641371
LBN Legal business name Central Illinois Neuroradiology, Ltd
DBA Doing business as
Authorized official Hall, Dexter
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Oct 23rd, 2007 - about 18 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 1881641371 NPPES
Illinois Other 5723741 BCBS GROUP #
Illinois Other CH0689 BCBS GROUP #

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