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Organization

COUNTY OF MCLEAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA MCKNIGHT (ADMINISTRATOR)
(309) 888-5450
Entity
Organization

Contact information

Practice address
200 W FRONT ST, BLOOMINGTON, IL 61701-5048
(309) 888-5533
(309) 452-8479
Mailing address
200 W FRONT ST, BLOOMINGTON, IL 61701-5048
(309) 888-5533
(309) 452-8479

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
07/21/2006
Last updated
09/02/2025
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