Organization
KENT S TAULBEE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT S TAULBEE MD (CEO)
(309) 663-6386
Entity
Organization
Contact information
Practice address
2418 E LINCOLN ST, BLOOMINGTON, IL 61701-5915
(309) 663-6386
(309) 662-7622
Mailing address
2418 E LINCOLN ST, BLOOMINGTON, IL 61701-5915
(309) 663-6386
(309) 662-7622
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5700247
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/31/2007
Last updated
10/31/2007
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