Nord Medical Weight Loss Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

836064021 Issued in IL

Legal business name

NORD MEDICAL WEIGHT LOSS CENTER

Practice address

1505 Eastland Dr
Suite 230
Bloomington, IL 61701-3534

Phone

(309) 661-1920

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Albert Nord, M.D.

Title

Ceo, Physician Consultant

Phone

(309) 661-1920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1437417987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "SUITE 230",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "SUITE 230",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-661-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORD MEDICAL WEIGHT LOSS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "NORD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CEO, PHYSICIAN CONSULTANT",
        "authorized_official_telephone_number": "309-661-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "836064021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nieukirk
• Carley Nigro, LCPC, NCC
• Sheri L Noonan, P.A.-C
• Kirk William Noraian, D.D.S.
• Rachel C Norbeck
• Nord Obstetrics and Gynecology, SC
• Anna Noel Nord, DMD
• Daniel Albert Nord, MD
• Kimberly Nord, N.P.
• Lawrence A. Nord, M.D.

• Clinic/Center in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.