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CENTRAL ILLINOIS NEURORADIOLOGY, LTD
NPI 1881641371
Specialist in Bloomington, IL

Active since May 28, 2006
1709 JUMER DR, SUITE B, BLOOMINGTON, IL 61704(309) 664-6808(309) 664-6809 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Illinois Neuroradiology, Ltd NPPES

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

CENTRAL ILLINOIS NEURORADIOLOGY, LTD (NPI 1881641371) is a healthcare organization registered as a specialist in Bloomington, Illinois and active in the NPI registry since May 2006. The organization lists Dexter Hall, Manager, as its authorized official.

NPPES Registry Identity

NPI1881641371
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCENTRAL ILLINOIS NEURORADIOLOGY, LTD
Location Address1709 JUMER DR, SUITE BBloomington, IL 61704-0909
Mailing Address1715 Deer Tracks Trl, Suite 130Saint Louis, MO 63131-1839 · (314) 821-5600 · Fax (314) 821-2180
Phone(309) 664-6808
Fax(309) 664-6809
Organization SubpartNo
Authorized OfficialDexter HallManager · (314) 821-5600
Enumeration DateMay 28, 2006
Last NPPES UpdateOctober 23, 2007
✔ NPI 1881641371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1709 JUMER DR, Bloomington, IL 61704
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Other Identifiers 3

Medicare PIN591180MO
Other5723741IL · Bcbs Group #
OtherCH0689IL · Railroad Medicare Group #

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 6

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

HOLLIE M. PEREZ
Counselor (Professional)
1709 JUMER DR
BLOOMINGTON, IL 61704
McLean County (815) 570-9399
STEPHANIE MICHELE GILL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1709 JUMER DR
BLOOMINGTON, IL 61704
McLean County (708) 825-5679
DR. JOSEPH PORINCHU ALENGHAT MD
Radiology (Diagnostic Radiology)
1709 JUMER DR, SUITE B
BLOOMINGTON, IL 61704
McLean County (309) 665-0640
MIDWEST CENTER FOR SLEEP MEDICINE, LLC
Clinic/Center (Sleep Disorder Diagnostic)
1709 JUMER DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9997
CONNECTION PSYCHIATRY, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1709 JUMER DR
BLOOMINGTON, IL 61704
McLean County (309) 463-5800
TRACY CONN-BOVEE COUNSELING, LLC
Counselor (Mental Health)
1709 JUMER DR
BLOOMINGTON, IL 61704
McLean County (309) 828-2090

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 Central Illinois Neuroradiology, Ltd's NPI number?

The NPI number for Central Illinois Neuroradiology, Ltd is 1881641371. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Central Illinois Neuroradiology, Ltd located?

Central Illinois Neuroradiology, Ltd is located at 1709 Jumer Dr Suite B, Bloomington, IL 61704. The listed phone number is (309) 664-6808.

What is Central Illinois Neuroradiology, Ltd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Central Illinois Neuroradiology, Ltd was last updated on October 23, 2007. 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.