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Organization
MIDWEST NEUROMONITORING, INC.
Active
Organization
MIDWEST NEUROMONITORING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MCKENNA MS, CNIM (PRESIDENT)
(309) 820-7982
Entity
Organization
Contact information
Practice address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(309) 820-7982
(309) 820-7982
Mailing address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(309) 820-7982
(309) 820-7982
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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