Abigail G Cervantes
Obstetrician
1505 Eastland Dr Ste 2200
Bloomington
, Illinois 61701-7910
Abigail G Cervantes
Obstetrician
1505 Eastland Dr Ste 2200
Bloomington
, Illinois 61701-7910
(309) 454-6977
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Abigail G Cervantes
- 1505 Eastland Dr Ste 2200
- Bloomington, IL
- Zip : 61701-7910
- Fax : (309) 454-6977
- Phone : (309) 454-3456
Second Address
- Abigail G Cervantes
- 1505 Eastland Dr Ste 2200
- Bloomington, IL
- Zip : 61701-7910
- Fax : (309) 454-6977
- Phone : (309) 454-3456
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 209.013242 | IL |
National Provider Identifier
| NPI | 1255700316 |
|---|---|
| Provider Name | Abigail G Cervantes |
| First Address | Bloomington, IL 61701-7910 |
| Second Address | Bloomington, IL 61701-7910 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2015 |
| Last Update Date | 29/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.