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Organization
BRIAN G. MCELHENY, M.D. LTD
Active
Organization
BRIAN G. MCELHENY, M.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN GEORGE MCELHENY, M.D. LTD M.D. (PHYSICIAN)
(618) 457-6787
Entity
Organization
Contact information
Practice address
207 W JACKSON ST, SUITE # 101, CARBONDALE, IL 62901-1408
(618) 457-6796
(618) 549-9799
Mailing address
207 W JACKSON ST, SUITE # 101, CARBONDALE, IL 62901-1408
(618) 457-6796
(618) 549-9799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036058838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058838
—
IL
01
—
080007297
RAILROAD MEDICARE
IL
01
—
114152
HEALTHLINK, INC
IL
01
—
1386603033
INDIVIDUAL NPI
IL
01
—
1922203249
CORPORATE NPI
IL
01
—
207Q00000X
TAXONOMY CODE
IL
01
—
3900160
BLUE CROSS/BLUE SHEILD
IL
Enumeration date
06/18/2007
Last updated
07/16/2013
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