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Prithvi Balaji

NPI 1184413056 · on the registry since 2025

Practice

Address
2200 East Washington St.
Bloomington, IL 61701
Phone
(309) 665-5996
Organisation at this address
Cepamerica Illinois Llp
St Joseph Medical Center
St Joseph Medical Center
St Joseph Medical Center
St Joseph Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
103

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois