NPI 1881641371

Central Illinois Neuroradiology, LTD

Organisation Specialist Bloomington, IL

Practice location

Address: 1709 Jumer Dr Suite B, Bloomington, IL 61704-0909
Phone: (309) 664-6808
Fax: (309) 664-6809
Mailing address: 1715 Deer Tracks Trl Suite 130, Saint Louis, MO 63131-1839

Authorised official

Name: Dexter Hall
Title: Manager
Phone: (314) 821-5600

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1881641371
Entity type: Organization
NPI issued: 28 May 2006
Record last updated: 23 Oct 2007

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.