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Organization

HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C.

Active
Other names
Harold A. Nord Obstetrics and Gynecology, S.C.
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA G GEORGAS (PRACTICE MANAGER)
(309) 838-6748
Entity
Organization

Contact information

Practice address
1505 EASTLAND DR STE 2200, BLOOMINGTON, IL 61701-7910
(309) 454-3456
(309) 454-6977
Mailing address
1505 EASTLAND DR STE 2200, BLOOMINGTON, IL 61701-7910
(309) 454-3456
(309) 454-6977

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036068939
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004750
HEALTH ALLIANCE
05
036068939
IL
01
1255700316
ABIGAIL CERVANTES NPI
IL
01
1548206519
HAROLD NORD INDIVIDUAL NPI
01
1750321667
GENEVA A. PETERSEN NPI
01
557210
MEDICARE PTAN
Enumeration date
05/06/2011
Last updated
12/15/2025
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