Bromenn Healthcare

NPI #1528003431 in Normal, Illinois

Provider Information

NPI Number: 1528003431
Entity Type: Organization
Organization Name: Bromenn Healthcare
Primary Specialty: Hospitalist
Enumeration Date: Jun 17, 2006
Last Updated: Mar 31, 2008

Practice Location

Address: 1300 FRANKLIN AVENUE
Address 2: SUITE 250
City: Normal
State: Illinois
ZIP Code: 61761-3699
Phone: (309) 268-3642

Authorized Official

Name: DR. GARY A HAGENS, DMD
Title: CHIEF OPERATING OFFICER AND VPMA
Phone: (309) 268-2003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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