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1174706816
CENTRAL ILLINOIS PEDIATRIC ASSOCIATES LLC
BLOOMINGTON, IL
NPI
1174706816
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Entity Type
Organization
Authorized Contact
SANJAY SAXENA
Owner
309-663-1011
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2007-12-17
Last Update Date
2007-12-17
Business Address
CENTRAL ILLINOIS PEDIATRIC ASSOCIATES LLC
2427 MALONEY DR
BLOOMINGTON, IL 61704-3750
Phone number: 309-663-1011
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Mailing Address
CENTRAL ILLINOIS PEDIATRIC ASSOCIATES LLC
2427 MALONEY DRIVE
BLOOMINGTON, IL 61704-3750
Phone number: 309-663-1011
Copy
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