| Senior Health And Geriatrics Of Central Illinois | |
|
2103 E. Washington St 2c B Loomington IL 61701-4365 | |
| (309) 663-5810 | |
| Not Available |
| Full Name | Senior Health And Geriatrics Of Central Illinois |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 2103 E. Washington St, B Loomington, Illinois |
| Authorized Official Name and Position | Uday L Deoskar (PHYSICIAN) |
| Authorized Official Contact | 3096635810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Health And Geriatrics Of Central Illinois 2103 E. Washington St 2c B Loomington IL 61701-4365 Ph: (309) 663-5810 | Senior Health And Geriatrics Of Central Illinois 2103 E. Washington St 2c B Loomington IL 61701-4365 Ph: (309) 663-5810 |
| NPI Number | 1477676757 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477676757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |