Bloomington Radiology S C
Bloomington Radiology S C is a Body Imaging Physician in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
2200 Fort Jesse Rd Ste 280Normal, IL 61761-6286
Phone: (309) 452-1788
Fax: (309) 862-1302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 042001755 (IL) |
|---|---|
| Body Imaging Physician | Taxonomy 2085B0100X · Licence 042001755 (IL) |
| Neuroradiology Physician | Taxonomy 2085N0700X · Licence 042001755 (IL) |
| Nuclear Radiology Physician | Taxonomy 2085N0904X · Licence 042001755 (IL) |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 042001755 (IL) |
Record details
| NPI number | 1700831773 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ajay Malpani — President · (309) 452-1788 |
| NPI enumerated | May 24, 2006 |
| Last updated in NPPES | May 27, 2021 |
| Certification date | May 27, 2021 |
| Mailing address | Po Box 3668, Bloomington, IL 61702-3668 |
Other providers in Normal
-
Dr. Daniel L Ha, MD
2200 Fort Jesse Rd Ste 280, Normal, IL 61761-6286 · (309) 452-1788
-
Dr. David Koch, MD
2200 Fort Jesse Rd Ste 280, Normal, IL 61761-6286 · (309) 452-1788