Organization
MCLEAN COUNTY ANESTHESIOLOGY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE R CHANDLER M.D. (PRESIDENT)
(309) 663-4700
Entity
Organization
Contact information
Practice address
1505 EASTLAND DR, SUITE LL 1400, BLOOMINGTON, IL 61701-3534
(309) 663-4700
(309) 665-0575
Mailing address
1505 EASTLAND DR, SUITE LL 1400, BLOOMINGTON, IL 61701-3534
(309) 663-4700
(309) 665-0575
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
042617190
IL
Other
Enumeration date
06/22/2006
Last updated
11/16/2011
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