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Organization

CONTEMPORARY OBSTETRICS & GYNECOLOGY PC

Active
Other names
CONTEMPORARY OB/GYN
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER L DUDLEY D.O. (PRESIDENT)
(309) 663-0411
Entity
Organization

Contact information

Practice address
2304 STERN DR, BLOOMINGTON, IL 61704-4487
(309) 663-0411
(309) 662-2018
Mailing address
2304 STERN DR, BLOOMINGTON, IL 61704-4487
(309) 663-0411
(309) 662-2018

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
216064
MEDICARE GROUP
IL
01
5732148
BCBS GROUP
IL
Enumeration date
08/30/2007
Last updated
03/18/2008
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