Bloomington Pediatrics and Allergy Ltd
NPI #1053506352 in Bloomington, Illinois
Provider Information
- NPI Number
- 1053506352
- Entity Type
- Organization
- Organization Name
- Bloomington Pediatrics and Allergy Ltd
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 10, 2007
- Last Updated
- Mar 27, 2009
Practice Location
- Address
- 306 SAINT JOSEPH DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3506
- Phone
- (309) 663-2354
Authorized Official
- Name
- MS. SUSAN LYNNE LABOUNTY
- Title
- OFFICE MANAGER
- Phone
- (309) 663-2354
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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