Nord, Daniel Albert

Nord, Daniel Albert is an sole proprietor health care provider with primary practice located at 1505 Eastland Dr Suite 230, Bloomington IL 61701-7906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Nord, Daniel Albert can be contacted via phone (309) 663-8888.

Contact Information

Primary practice address
1505 Eastland Dr Suite 230 Bloomington IL 61701-7906
Phone: (309) 663-8888
Fax: (309) 663-9544
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036064021 Illinois

Profile Details

NPI number 1336144955
LBN Legal business name Nord, Daniel Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jul 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336144955 NPPES
Illinois MEDICAID 036064021
Illinois Other 05700259

Popular Providers