Individual
LILLIAN JOY HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 W CARPENTER ST DEPT OF, SPRINGFIELD, IL 62702-4901
(217) 545-8000
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-3787
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20232
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06279311
—
MS
Enumeration date
06/14/2007
Last updated
08/27/2020
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