NPIMap

Organization Active NPI

McLean County Anesthesiology, LTD.

  • Pain Medicine (Anesthesiology) Physician
  • Bloomington, IL
National Provider Identifier
1063448215
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
042617190 Issued in IL
Legal business name
MCLEAN COUNTY ANESTHESIOLOGY, LTD.
Practice address
1505 Eastland Dr
Suite LL 1400
Bloomington, IL 61701-3534
Phone
(309) 663-4700
Fax
(309) 665-0575
NPI assigned
Jun 22, 2006
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bruce R Chandler, M.D.NPI 1952387987
Title
President
Phone
(309) 663-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 042617190 IL Primary

Addresses

Primary practice location

1505 Eastland Dr
Suite LL 1400
Bloomington, IL 61701-3534

Mailing address

1505 Eastland Dr
Suite LL 1400
Bloomington, IL 61701-3534
Phone (309) 663-4700

National Provider Directory

National Provider Directory

Locations

1008 N Center St
Bloomington, IL 61701
Phone (309) 827-2020

1505 Eastland Dr
Ste LL10
Bloomington, IL 61701
Phone (309) 664-6886

1505 Eastland Dr
Ste LL1100
Bloomington, IL 61701
Phone (309) 662-2500

1505 Eastland Dr
Ste LL1400
Bloomington, IL 61701
Phone 3096634700 ext. 201

3872 Reliable Pkwy
Chicago, IL 60686

2200 Fort Jesse Rd
Ste 240
Normal, IL 61761
Phone (309) 268-9300

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1063448215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "SUITE LL 1400",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-663-4700",
            "fax_number": "309-665-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "SUITE LL 1400",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-663-4700",
            "fax_number": "309-665-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN COUNTY ANESTHESIOLOGY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-663-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "042617190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.