| Bromenn Medical Group | |
|
403 W Virginia Ave Normal IL 61761-3666 | |
| (309) 268-2128 | |
| (309) 454-1016 |
| Full Name | Bromenn Medical Group |
|---|---|
| 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 |
|---|---|
| Bromenn Medical Group Po Box 2451 Bloomington IL 61702-2451 Ph: (309) 268-2128 | Bromenn Medical Group 403 W Virginia Ave Normal IL 61761-3666 Ph: (309) 268-2128 |
| NPI Number | 1740207109 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740207109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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