| |
1701 E College Ave Bloomington IL 61704-2101 | |
(309) 664-3280 | |
Not Available |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 1701 E College Ave, Bloomington, Illinois |
Authorized Official Name and Position | James M Moore (CEO) |
Authorized Official Contact | 3096552850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
800 Ne Glen Oak Ave Peoria IL 61603-3255 Ph: () - | 1701 E College Ave Bloomington IL 61704-2101 Ph: (309) 664-3280 |
NPI Number | 1487881058 |
---|---|
Provider Enumeration Date | 06/22/2009 |
Last Update Date | 06/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487881058 | NPI | - | NPPES |
Gateway Foundation, Inc-cmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 N Hershey Rd Ste B, Bloomington, IL 61704 Phone: 877-381-6538 | |
Cynthia M Harbaugh, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St Ste 305, Bloomington, IL 61701 Phone: 309-862-3620 Fax: 309-322-0535 | |
Finding Your Path To Freedom Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 E Oakland Ave Ste 11b, Bloomington, IL 61701 Phone: 563-505-9529 Fax: 309-402-0579 | |
Hope 4 Tomorrow Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2422 E Washington St, Suite 107, Bloomington, IL 61704 Phone: 309-310-9621 Fax: 309-454-6501 |