NPI 1053506352

Bloomington Pediatrics and Allergy LTD

Organisation Specialist Bloomington, IL

Practice location

Address: 306 Saint Joseph Dr, Bloomington, IL 61701-3506
Phone: (309) 663-2354
Fax: (309) 662-8602

Authorised official

Name: Susan Lynne Labounty
Title: Office Manager
Phone: (309) 663-2354

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 036058820 (IL)

Other Specialist providers in Illinois →

Registry record

NPI: 1053506352
Entity type: Organization
NPI issued: 10 Sep 2007
Record last updated: 27 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.