IRELAND GROVE CENTER FOR SURGERY LLC. – NPI #1750567442
Clinic/Center

IRELAND GROVE CENTER FOR SURGERY LLC. is an AHC clinic located in BLOOMINGTON, IL. NPPES has assigned the NPI number 1750567442 to IRELAND GROVE CENTER FOR SURGERY LLC. on January 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on May 19, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IRELAND GROVE CENTER FOR SURGERY LLC. below.

NPI Profile for
IRELAND GROVE CENTER FOR SURGERY LLC.

NPI Number
1750567442
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IRELAND GROVE CENTER FOR SURGERY LLC.
Primary location
3801 IRELAND GROVE ROAD
BLOOMINGTON, IL 61704
Phone: (309) 664-0101 Fax: (309) 664-1010
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDWARD KOLB
PRESIDENT
Phone: (309) 664-0101
Updated
Certification Date
May 19, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for IRELAND GROVE CENTER FOR SURGERY LLC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherNPIIL1285633420
otherNPIIL1558347310
otherNPIIL1760543615
otherNPIIL1992813174
otherNPIIL1164419818
otherNPIIL1538168786
otherPTANILIL1464
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.