Esther M Alumbaugh, RST
Individual provider Active NPI Surgical Technologist · Normal, IL
NPI 1255653119 · NPPES record last updated May 29, 2020
Key facts
- NPI
- 1255653119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Technologist 246ZS0410X
- License
- 237000037 (IL)
- Practice address
- 1604 Visa Dr
Suite #1
Normal, IL 61761-2195 - Phone
- (309) 846-4716
- NPI assigned
- Feb 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237000037 | IL | MD | Surgical Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 237000037 | IL | Yes |
Addresses
Primary practice location
1604 Visa Dr
Suite #1
Normal, IL 61761-2195
Mailing address
1604 Visa Dr Ste 1
Normal, IL 61761-2195
Phone (309) 846-4716
Other names
- Esther M Gonzalez
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All providers in Normal, IL · Surgical Technologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.