Organization
BROMENN REGIONAL MEDICAL CENTER
Active
Parent organization
BROMENN HEALTHCARE
Other names
BRMC Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROMENN HEALTHCARE
Authorized official
MRS. PENNY CERMAK (VP/CFO)
(309) 268-5180
Entity
Organization
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761
(309) 268-5180
Mailing address
1304 FRANKLIN AVE, NORMAL, IL 61761
(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
—
827520
MEDICARE PART B
IL
Enumeration date
12/21/2007
Last updated
12/21/2007
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