AMBULATORY MEDICAL ASSOCIATES LLC - NPI 1306040878

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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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 8

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

DR. NICHOLAS NAYAK M.D.

Clinic/Center (Primary Care)