IndividualActive
Desiree Padilla, IONM TECHNOLOGIST
NPI 1154961092 · Electroneurodiagnostic Specialist/Technologist · Normal, IL
Provider details
- NPI number
- 1154961092
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- IONM TECHNOLOGIST
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1604 Visa Dr Ste 1
Normal, IL 61761-2195
Phone: (309) 846-4716
Fax: (309) 454-7348
Approximate (ZIP-level) locationGet directions
Mailing address
1604 Visa Dr Ste 1
Normal, IL 61761-2195
Registry dates
- Enumerated
- 2020-01-08
- Last updated
- 2020-05-22
- Certified
- 2020-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.