Eastland Medical Plaza Surgicenter, LLC
Eastland Medical Plaza Surgicenter, LLC is an Ambulatory Surgical Clinic/Center in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1505 Eastland DrBloomington, IL 61701-3534
Phone: (309) 663-1997
Fax: (309) 662-9527
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 7002413 (IL) |
|---|
Record details
| NPI number | 1699751289 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jackie Frye — Business Office Manager · (309) 663-1997 |
| NPI enumerated | December 16, 2005 |
| Last updated in NPPES | January 6, 2010 |
| Mailing address | 1505 Eastland Dr, Bloomington, IL 61701-3534 |
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