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AMBULATORY MEDICAL ASSOCIATES LLC
NPI 1306040878
Clinic/Center - Primary Care in Normal, IL

Active since June 11, 2007
2010 JACOBSSEN DR, NORMAL, IL 61761(309) 452-0995(309) 862-0961 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ambulatory Medical Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBULATORY MEDICAL ASSOCIATES LLC (NPI 1306040878) is a healthcare organization registered as a primary care in Normal, Illinois and active in the NPI registry since June 2007. The organization lists Phoebe Panopio, Dr, as its authorized official.

NPPES Registry Identity

NPI1306040878
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAMBULATORY MEDICAL ASSOCIATES LLC
Location Address2010 JACOBSSEN DRNormal, IL 61761-6280
Mailing Address2010 Jacobssen DrNormal, IL 61761-6280 · (309) 452-0995 · Fax (309) 862-0961
Phone(309) 452-0995
Fax(309) 862-0961
Organization SubpartNo
Authorized OfficialPhoebe PanopioDr · (309) 452-0995
Enumeration DateJune 11, 2007
Last NPPES UpdateNovember 20, 2013
✔ NPI 1306040878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036094859
2010 JACOBSSEN DR, Normal, IL 61761
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Other Identifiers 1

Medicare ID-Type UnspecifiedK02775IL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWEST ALLERGY SINUS ASTHMA S.C.
Specialist
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
DR. NICHOLAS NAYAK M.D.
Clinic/Center (Primary Care)
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
MRS. KATHLEEN LALLY N.P.
Nurse Practitioner (Family)
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
DAREEN D SIRI M.D.
Internal Medicine (Allergy & Immunology)
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
DANA DALBAK PA-C
Physician Assistant
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
ANJULI S. NAYAK, M.D.
Specialist
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
SWIA, LLC
Clinic/Center (Research)
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ambulatory Medical Associates LLC's NPI number?

The NPI number for Ambulatory Medical Associates LLC is 1306040878. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Ambulatory Medical Associates LLC located?

Ambulatory Medical Associates LLC is located at 2010 Jacobssen Dr, Normal, IL 61761. The listed phone number is (309) 452-0995.

What is Ambulatory Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ambulatory Medical Associates LLC was last updated on November 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.