Mid-Central Ill Gastro
Mid-Central Ill Gastro is a Gastroenterology Physician in Normal, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2200 Jacobssen Dr Ste BNormal, IL 61761-5516
Phone: (309) 451-1123
Fax: (309) 451-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X |
|---|
Record details
| NPI number | 1992845358 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Matter — President · (309) 451-1123 |
| Other names | Mid-Central Ill Gast Ltd |
| NPI enumerated | February 7, 2007 |
| Last updated in NPPES | August 28, 2008 |
| Mailing address | 2200 Jacobssen Dr, Suite B, Normal, IL 61761-5516 |
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