Herman Justis Dick Jr., M.D.

Specialist · Bloomington, IL

Individual Active NPI

NPI number 1891891370

Practice location

2204 Eastland Dr
Bloomington, IL 61704-3566
Phone
(309) 662-9461
Fax
(309) 663-0222

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NPI record

NPI
1891891370
Entity type
Individual (Type 1)
Enumeration date
September 15, 2006
Last updated
May 21, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 036056374 IL

About Dr. Dick

Herman Justis Dick Jr., M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2204 Eastland Dr, Bloomington, IL 61704-3566. The NPI number 1891891370 was assigned on September 15, 2006 and the record was last updated on May 21, 2008.

Dr. Dick lists a license in the registry: #036056374 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Herman Justis Dick Jr., M.D.?

The NPI number is 1891891370.

What is the phone number of Dr. Dick?

The phone number listed for the practice location is (309) 662-9461.

Where is Dr. Dick located?

2204 Eastland Dr, Bloomington, IL 61704-3566.

What is the taxonomy code for Dr. Dick?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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