Organization
BLOOMINGTON PERFUSIONIST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM SHERRICK CCP (PRESIDENT)
(309) 830-6663
Entity
Organization
Contact information
Practice address
2005 JACOBSSEN DR, NORMAL, IL 61761-6279
(309) 888-4000
Mailing address
1419 TAMARACK CC TRL, NORMAL, IL 61761-5265
(309) 830-6663
(309) 454-9292
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
28914899
IL
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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