Organization
BROMENN HEALTHCARE, INC.
Active
Other names
BroMenn physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY CERMAK (VP/CFO)
(309) 268-2185
Entity
Organization
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761
(309) 268-5180
Mailing address
PO BOX 2850, BLOOMINGTON, IL 61702-2850
(309) 268-5180
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0004812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
827500
MEDICARE PART B
IL
Enumeration date
12/21/2007
Last updated
01/15/2010
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