St Joseph Medical Center

NPI 1881782878

Information of St Joseph Medical Center

The NPI 1881782878 is an Organization type. NPI No 1881782878 belongs to St Joseph Medical Center. St Joseph Medical Center specializes in Interventional Cardiology. is practising at 1505 Eastland Dr, Bloomington, Illinois 61701. You can also contact him via phone number (309) 663-9800.

Practice address located

  • 1505 Eastland Dr
  • Bloomington, Illinois 61701
  • (309) 663-9800
  • (309) 663-9800

Mailling address located

  • 1505 Eastland Dr
  • Bloomington, Illinois 61701
  • Not available
  • Not available
NPI No 1881782878
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes207RI0011XInterventional Cardiologyn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
IL057-32087OtherBLUE CROSS BLUE SHIELD
IL211036Medicare PINn/a
Similar NPIs No