DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HERMAN JUSTIS DICK JR., M.D.

Active

DR. HERMAN JUSTIS DICK JR., M.D. is a Specialist healthcare provider located in BLOOMINGTON, Illinois. NPI 1891891370 is currently active in the NPPES registry. Verify at CMS.

Specialist · BLOOMINGTON, IL

Registration Details

NPI Number
1891891370
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2006 (19.94012799345 yrs)
Last Updated
May 21, 2008
License
036056374 (IL)

Practice Information

Address
2204 EASTLAND DR
BLOOMINGTON, IL, 617043566
Browse IL providers · Browse ZIP 61704
Phone
3096629461
Fax
3096630222
Primary Specialty
Specialist
174400000X

Other Specialist Providers in BLOOMINGTON, IL

Name Credential NPI
DR. KAYE HARMS TOOHILL M.D. 1316905805
DR. ERIK PAUL BOE M.D. 1942268271
DR. MARK STEVEN ULBRICH M.D. 1578511390
DR. BARRY CRAIG WEAVER 1609824242
ARA DAVID APRAHAMIAN M.D. 1528015013
JOSEPH G HARMAN M.D. 1942241484
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.