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MCLEAN COUNTY NEUROLOGY SC
NPI 1760431712
Psychiatry & Neurology - Neurology in Bloomington, IL

Active since May 08, 2006
2204 EASTLAND DR, BLOOMINGTON, IL 61704(309) 662-9461 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mclean County Neurology Sc NPPES

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

MCLEAN COUNTY NEUROLOGY SC (NPI 1760431712) is a healthcare organization registered as a neurology in Bloomington, Illinois and active in the NPI registry since May 2006. The organization lists Herman Justus Dick, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1760431712
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMCLEAN COUNTY NEUROLOGY SC
Location Address2204 EASTLAND DRBloomington, IL 61704-3566
Mailing Address2204 Eastland DrBloomington, IL 61704-3566 · (309) 662-9461
Phone(309) 662-9461
Organization SubpartNo
Authorized OfficialHerman Justus DickManaging Partner · (309) 662-9461
Enumeration DateMay 8, 2006
Last NPPES UpdateJune 5, 2008
✔ NPI 1760431712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2204 EASTLAND DR, Bloomington, IL 61704
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Other Identifiers 3

Other5715381IL · Blue Cross Blue Shield
Medicare PIN650050IL
OtherCF6543IL · Medid

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

EDWARD W PEGG III MD
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
DR. EDWARD W PEGG IV M.D.
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
DR. FANG LI M.D.
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461
SLEEP CENTER OF CENTRAL ILLINOIS LLC
Clinic/Center (Sleep Disorder Diagnostic)
2204 EASTLAND DR, SUITE 100
BLOOMINGTON, IL 61704
McLean County (309) 662-1558
MR. MUNIB S MAFAZY APRN
Nurse Practitioner (Family)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
DR. CURTIS J. HAYDEN M.D.
Specialist
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461
ELIZABETH ARDITH WILSON PA-C
Physician Assistant
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
DR. HERMAN JUSTIS DICK JR. M.D.
Specialist
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461

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 Mclean County Neurology Sc's NPI number?

The NPI number for Mclean County Neurology Sc is 1760431712. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Mclean County Neurology Sc located?

Mclean County Neurology Sc is located at 2204 Eastland Dr, Bloomington, IL 61704. The listed phone number is (309) 662-9461.

What is Mclean County Neurology Sc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Mclean County Neurology Sc was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.