Planned Parenthood of Illinois
NPI #1033526967 in Bloomington, Illinois
Provider Information
- NPI Number
- 1033526967
- Entity Type
- Organization
- Organization Name
- Planned Parenthood of Illinois
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PLANNED PARENTHOOD OF ILLINOIS
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 11, 2014
- Last Updated
- Oct 17, 2022
Practice Location
- Address
- 1319 N VETERANS PKWY
- Address 2
- SUITE 3-A
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6426
- Phone
- (309) 827-4014
Authorized Official
- Name
- ERIKA R GONZALEZ
- Title
- CREDENTIALING COORDINATOR
- Phone
- (312) 592-6892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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