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Contact Information

BROMENN HEALTHCARE HOSPITALS
1300 FRANKLIN AVE
SUITE 100
NORMAL, IL61761-3588
 Phone: 309-268-3761
 Fax: 309-268-5620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BROMENN HEALTHCARE HOSPITALS · (Female)

NPI Number 1396780854
Status Active
Credentials
Entity Individual
Enumeration date 06/18/2006
Last updated 10/06/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 5715390 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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