| Central Illinois Pediatric Associates LLC | |
|
2427 Maloney Dr Bloomington IL 61704-3750 | |
| (309) 663-1011 | |
| Not Available |
| Full Name | Central Illinois Pediatric Associates LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2427 Maloney Dr, Bloomington, Illinois |
| Authorized Official Name and Position | Sanjay Saxena (OWNER) |
| Authorized Official Contact | 3096631011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Illinois Pediatric Associates LLC 2427 Maloney Drive Bloomington IL 61704-3750 Ph: (309) 663-1011 | Central Illinois Pediatric Associates LLC 2427 Maloney Dr Bloomington IL 61704-3750 Ph: (309) 663-1011 |
| NPI Number | 1174706816 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174706816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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