NICHOLAS A BATHURST

NORMAL, IL
NPI1649842766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2021-07-16
Last Update Date2021-07-16
Business Address
NICHOLAS A BATHURST
CARLE BROMENN MEDICAL CENTER 1304 FRANKLIN AVE.
NORMAL, IL 61761
Phone number: 309-454-1400
Mailing Address
NICHOLAS A BATHURST
1604 VISA DR STE 1
NORMAL, IL 61761-2195
Phone number: 309-846-4716
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