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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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