Organization
FINN R. AMBLE, M.D. F.A.C.S., S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON JAMES ROSSI M.D. (PRACTICE ADMINISTRATOR)
(309) 662-2278
Entity
Organization
Contact information
Practice address
1505 EASTLAND DR, SUITE 220, BLOOMINGTON, IL 61701-3534
(309) 662-2278
Mailing address
1505 EASTLAND DR, SUITE 220, BLOOMINGTON, IL 61701-3534
(309) 662-2278
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036090897
IL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
036090897
IL
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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