NPI 1881998102
Mark Wayne McClintock, BCHIS
Practice location
- Address
- 3801 General Electric Rd STE 1, Bloomington, IL 61704-4193
- Phone
- (309) 662-9552
- Fax
- (309) 662-9377
- Mailing address
- 3801 Ge Rd STE 1, Bloomington, IL 61704-4193
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1881998102
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Dec 2010
- Record last updated
- 29 Dec 2010
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.