Central Illinois Pediatric Associates LLC
NPI #1174706816 in Bloomington, Illinois
Provider Information
- NPI Number
- 1174706816
- Entity Type
- Organization
- Organization Name
- Central Illinois Pediatric Associates LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 17, 2007
- Last Updated
- Dec 17, 2007
Practice Location
- Address
- 2427 MALONEY DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3750
- Phone
- (309) 663-1011
Authorized Official
- Name
- DR. SANJAY SAXENA, M.D.
- Title
- OWNER
- Phone
- (309) 663-1011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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