IndividualActive
Jonathan Aubry
NPI 1255866448 · Sports Medicine (Family Medicine) Physician · Bloomington, IL
Provider details
- NPI number
- 1255866448
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036157079 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1111 Trinity Ln
Bloomington, IL 61704-8111
Phone: (309) 661-6414
Approximate (ZIP-level) locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801-2501
Additional practice locations (2)
- 280 Fletcher DrGainesville, FL 32611-1035Phone: (352) 392-1161
- 714 N Michigan StSouth Bend, IN 46601-1035Phone: (574) 647-7913
Registry dates
- Enumerated
- 2017-04-25
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.