| |
403 W Virginia Ave Normal IL 61761-3666 | |
(309) 268-2128 | |
(309) 454-1016 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 403 W Virginia Ave, Normal, Illinois |
Authorized Official Name and Position | William Brouwer (PRESIDENT) |
Authorized Official Contact | 3092682128 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2451 Bloomington IL 61702-2451 Ph: (309) 268-2128 | 403 W Virginia Ave Normal IL 61761-3666 Ph: (309) 268-2128 |
NPI Number | 1740207109 |
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Provider Enumeration Date | 07/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1740207109 | NPI | - | NPPES |
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