Individual
TODD DAVID ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 N 8TH ST, SPRINGFIELD, IL 62701-1041
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036086844
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000036797
—
AL
Enumeration date
06/28/2006
Last updated
02/06/2023
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