| Mid-central Illinois Gastroenterology, Ltd. | |
|
2200 Jacobssen Dr Suite B Normal IL 61761-5516 | |
| (309) 451-1123 | |
| (309) 451-1212 |
| Full Name | Mid-central Illinois Gastroenterology, Ltd. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2200 Jacobssen Dr, Normal, Illinois |
| Authorized Official Name and Position | John Hesse (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 3096626200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-central Illinois Gastroenterology, Ltd. 2200 Jacobssen Dr Suite B Normal IL 61761-5516 Ph: (309) 451-1123 | Mid-central Illinois Gastroenterology, Ltd. 2200 Jacobssen Dr Suite B Normal IL 61761-5516 Ph: (309) 451-1123 |
| NPI Number | 1467751156 |
|---|---|
| Provider Enumeration Date | 03/21/2011 |
| Last Update Date | 03/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467751156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Illinois) | Primary |
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