Central Illinois Neuroradiology, Ltd

NPI #1881641371 in Bloomington, Illinois

Provider Information

NPI Number: 1881641371
Entity Type: Organization
Organization Name: Central Illinois Neuroradiology, Ltd
Primary Specialty: Specialist
Enumeration Date: May 28, 2006
Last Updated: Oct 23, 2007

Practice Location

Address: 1709 JUMER DR
Address 2: SUITE B
City: Bloomington
State: Illinois
ZIP Code: 61704-0909
Phone: (309) 664-6808

Authorized Official

Name: MR. DEXTER HALL
Title: MANAGER
Phone: (314) 821-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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