DR. HERMAN JUSTIS DICK JR. M.D.
NPI 1891891370
Specialist in Bloomington, IL

Q: What is Herman Dick's NPI number?

The NPI number for Herman Dick is 1891891370. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Herman Dick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Herman Dick was last updated on May 21, 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.

Active since September 15, 2006PECOS Enrolled

2204 EASTLAND DR, BLOOMINGTON, IL 61704(309) 662-9461(309) 663-0222 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Herman Justis Dick Jr. M.d. NPPES

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

DR. HERMAN JUSTIS DICK JR. M.D. (NPI 1891891370) is an individual specialist in Bloomington, Illinois, licensed in Illinois (036056374) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891891370

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. HERMAN JUSTIS DICK JR.Credential: M.D.

Location Address2204 EASTLAND DRBloomington, IL 61704-3566

Mailing Address2204 Eastland DrBloomington, IL 61704-3566 · (309) 662-9461 · Fax (309) 663-0222

Phone(309) 662-9461

Fax(309) 663-0222

Sole ProprietorNo

Enumeration DateSeptember 15, 2006

Last NPPES UpdateMay 21, 2008

✔ NPI 1891891370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036056374

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.

2204 EASTLAND DR, Bloomington, IL 61704

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Other Identifiers 4

Medicare UPINC41022IL

Other5715381IL · Blue Cross Blue Shield

Other130005238IL · Medicare Id

Medicaid036056374IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Herman Justis Dick Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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

MCLEAN COUNTY NEUROLOGY SC

Psychiatry & Neurology (Neurology)

2204 EASTLAND DR
BLOOMINGTON, IL 61704

McLean County (309) 662-9461

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

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 Herman Dick's NPI number?

The NPI number for Herman Dick is 1891891370. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Herman Dick located?

Herman Dick practices at 2204 Eastland Dr, Bloomington, IL 61704. The listed phone number is (309) 662-9461.

What is Herman Dick's specialty?

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

Is Herman Dick enrolled in Medicare?

Yes. Herman Dick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Herman Dick was last updated on May 21, 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.