| Marathon Health, Bloomington Il- E Empire St | |
|
2309 E Empire St Ste 200 Bloomington IL 61704-8701 | |
| (704) 936-5546 | |
| Not Available |
| Full Name | Marathon Health, Bloomington Il- E Empire St |
|---|---|
| Speciality | Clinic/center |
| Location | 2309 E Empire St Ste 200, Bloomington, Illinois |
| Authorized Official Name and Position | Jill Johnson Patton (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Contact | 7049365546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marathon Health, Bloomington Il- E Empire St 4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 | Marathon Health, Bloomington Il- E Empire St 2309 E Empire St Ste 200 Bloomington IL 61704-8701 Ph: (704) 936-5546 |
| NPI Number | 1316696644 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 09/17/2026 |
| Certification Date | 09/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316696644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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