Rejuv Integrative Medical Practice Shawn C Snider

NPI 1104186667 - Clinic/Center - 261QH0100X

NPI Details
NPI 1104186667
Enumeration Date 05/17/2012
Last Updated 05/17/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SHAWN CHRISTOPHER SHAWN
Position OWNER
Phone (309) 622-3002
Fax (309) 263-4611
Practice Location
405 N HERSHEY RD
BLOOMINGTON IL, 61704-3527, US
Phone (309) 622-3002
Fax (309) 263-4611
Business Location
405 N HERSHEY RD
BLOOMINGTON IL, 61704-3527, US
Phone (309) 622-3002
Fax (309) 263-4611
Toxanomy
Taxonomy Code 261QH0100X
License State Illinois
License Number 036.110856
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According to our database, Rejuv Integrative Medical Practice Shawn C Snider NPI is 1104186667, taxonomy code is 261QH0100X and license number is 036.110856, license state is located at Illinois. Rejuv Integrative Medical Practice Shawn C Snider physically located at 405 N Hershey Rd, Bloomington IL, 61704-3527. NPI Number 1033115704 has the healthcare provider type.

1104186667 NPI number is provided on an as is basis without warranty of any kind. 1104186667 is maintained by the National Plan & Provider Enumeration System. The contents of Rejuv Integrative Medical Practice Shawn C Snider are for informational purposes only.