Individual
DR. LAWRENCE ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1304
(217) 366-7427
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-2670
(217) 366-2669
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-078664
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078664 1
—
IL
01
—
060016815
RAILROAD MEDICARE
IL
01
—
279500
MEDICARE GROUP
IL
Enumeration date
07/31/2006
Last updated
01/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us