Bloomington Medical Distribution LLC
NPI #1669918009 in Bloomington, Illinois
Provider Information
- NPI Number
- 1669918009
- Entity Type
- Organization
- Organization Name
- Bloomington Medical Distribution LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 9, 2017
- Last Updated
- May 6, 2019
Practice Location
- Address
- 1111 TRINITY LN
- Address 2
- SUITE 111
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-8111
- Phone
- (309) 306-7574
Authorized Official
- Name
- MELISSA REDONDO
- Title
- GENERAL COUNSEL
- Phone
- (309) 306-7574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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