Summit Family Medical Center
NPI #1174718050 in Bloomington, Illinois
Provider Information
- NPI Number
- 1174718050
- Entity Type
- Organization
- Organization Name
- Summit Family Medical Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 13, 2007
- Last Updated
- Sep 13, 2007
Practice Location
- Address
- 902 N HERSHEY RD
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704
- Phone
- (309) 662-6880
Authorized Official
- Name
- KENNETH W BIRGE JR., MD
- Title
- OWNER
- Phone
- (309) 662-6880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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