Individual
MR. DUANE RAY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 787-5595
Mailing address
PO BOX 9469, SPRINGFIELD, IL 62791-9469
(217) 547-9100
(217) 787-5595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-003152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070003152
—
IL
01
—
P00769838
RAILROAD MEDICARE
IL
Enumeration date
07/27/2006
Last updated
12/30/2009
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