PRAIRIELAND OUTPATIENT DIAGNOSTIC CENTER, LLC

NORMAL, IL
NPI1700252228
Doing Business AsDIGESTIVE DISEASE ENDOSCOPY CENTER
Entity TypeOrganization
Authorized ContactSHARON M HOHLFELD
Co Treasurer
215-589-9024
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Additional Taxonomies207L00000X Anesthesiology
Enumeration Date2015-08-19
Last Update Date2020-01-16
Business Address
PRAIRIELAND OUTPATIENT DIAGNOSTIC CENTER, LLC
1302 FRANKLIN AVE SUITE 1000
NORMAL, IL 61761-3551
Phone number: 309-268-3400
Mailing Address
PRAIRIELAND OUTPATIENT DIAGNOSTIC CENTER, LLC
1302 FRANKLIN AVE SUITE 1000
NORMAL, IL 61761-3551
Phone number: 309-268-3400