Mclean County Neurology Sc

LBN: Mclean County Neurology Sc
Mclean County Neurology Sc is an health care organization with primary practice located at 2204 Eastland Dr , Bloomington IL 61704-3566. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Mclean County Neurology Sc can be contacted via phone (309) 662-9461, or through Dick, Herman Justus via phone (309) 662-9461.

Contact Information

Primary practice address
2204 Eastland Dr Bloomington IL 61704-3566
Phone: (309) 662-9461
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dick, Herman Justus Doctor of Medicine (MD)
Phone: (309) 662-9461

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1760431712
LBN Legal business name Mclean County Neurology Sc
DBA Doing business as
Authorized official Dick, Herman Justus Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Jun 5th, 2008 - 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 1760431712 NPPES
Illinois Other CF6543 MEDID
Illinois Other 5715381 MEDID

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