OrganizationActive
Ambulatory Medical Associates LLC
NPI 1306040878 · Primary Care Clinic/Center · Normal, IL
Provider details
- NPI number
- 1306040878
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phoebe Panopio, Dr(309) 452-0995
- License
- 036094859 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2010 Jacobssen Dr
Normal, IL 61761-6280
Phone: (309) 452-0995
Fax: (309) 862-0961
Approximate (ZIP-level) locationGet directions
Mailing address
2010 Jacobssen Dr
Normal, IL 61761-6280
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2013-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.