Organization
CENTRAL ILLINOIS INSTITUTE OF BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POONAM MCALLISTER PT (PT/OWNER)
(309) 663-4900
Entity
Organization
Contact information
Practice address
211 LANDMARK DRIVE STE E3, NORMAL, IL 61761
(309) 663-4900
(309) 663-4197
Mailing address
211 LANDMARK DR STE E3, NORMAL, IL 61761-6165
(309) 663-4900
(309) 663-4197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-007930
IL
231H00000X
Audiologist
147-000121
IL
Other
Enumeration date
01/30/2007
Last updated
05/29/2024
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