Select Care Pllc
NPI #1558947283 in Bloomington, Illinois
Provider Information
- NPI Number
- 1558947283
- Entity Type
- Organization
- Organization Name
- Select Care Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 23, 2021
- Last Updated
- Mar 23, 2021
Practice Location
- Address
- 2103 E WASHINGTON ST STE 2C
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4365
- Phone
- (309) 808-1450
Authorized Official
- Name
- SHANNON LAESCH, APRN
- Title
- OWNER
- Phone
- (309) 808-1450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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