NPI 1114038528 · live from the CMS NPI Registry
Bloomington Normal Ear Nose Throat Ltd
Otolaryngology in Bloomington, IL. National Provider Identifier 1114038528, active.
NPI record
| NPI | 1114038528 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Otolaryngology 207Y00000X |
| Practice location | 1404 Eastland Dr Ste 209, Bloomington, IL 61701 |
| Practice phone | 306-662-3277 |
| Enumerated | August 31, 2006 |
| Last updated | April 20, 2008 |
| Authorized official | Ann Klimkewicz, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology | 207K00000X | — |
| Audiologist | 231H00000X | — |
| Audiologist-Hearing Aid Fitter | 237600000X | — |
| Otolaryngology primary | 207Y00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.