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REJUV CENTRAL PC NPI 1821358383


NPI Information

NPI: 1821358383
Provider Name: REJUV CENTRAL PC

Doing Business As: REJUV BLOOMINGTON

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
405 N HERSHEY RD
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 662-3002
Get Directions

REJUV CENTRAL PC is a clinic center in Bloomington, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REJUV CENTRAL PC NPI is 1821358383. The provider is registered as an organization entity type.
The provider Is Doing Business As Rejuv Bloomington.

The provider's business location address is:

405 N HERSHEY RD
BLOOMINGTON, IL
ZIP 61704-527
Phone: (309) 662-3002
Fax: (309) 263-4611

The provider's authorized official is Shawn Christopher Snider .
The authorized official title is Owner and has the following contact phone number (309) 678-4342.

The enumeration date for this NPI number is 5/17/2012 and was last updated on 5/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center036099987ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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