Individual
DR. JONATHAN HUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
914 N MAIN ST, BLOOMINGTON, IL 61701-3044
(309) 828-1395
Mailing address
914 N MAIN ST, BLOOMINGTON, IL 61701-3044
(309) 828-1395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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