Organization
NORD OBSTETRICS AND GYNECOLOGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL A NORD M.D. (OWNER/MEDICAL DOCTOR)
(309) 663-8888
Entity
Organization
Contact information
Practice address
1505 EASTLAND DR, #230, BLOOMINGTON, IL 61701-3534
(309) 663-8888
(309) 663-9544
Mailing address
1505 EASTLAND DR, #230, BLOOMINGTON, IL 61701-3534
(309) 663-8888
(309) 663-9544
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064021
—
IL
Enumeration date
07/07/2005
Last updated
07/21/2022
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