Organization
FRANSEN AND KULB UROLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS B KULB M.D. (PRESIDENT)
(309) 663-9424
Entity
Organization
Contact information
Practice address
1401 EASTLAND DR, SUITE B, BLOOMINGTON, IL 61701-3514
(309) 663-9424
(309) 663-6350
Mailing address
1401 EASTLAND DR, SUITE B, BLOOMINGTON, IL 61701-3514
(309) 663-9424
(309) 663-6350
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0723870001
GROUP DME PROVIDER NUMBER
IL
01
—
5732045
GROUP BCBS PROVIDER
IL
01
—
P00100008
RAILROAD MEDICARE
IL
Enumeration date
06/20/2006
Last updated
08/22/2020
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