Individual
DR. STUART FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 W ILES AVE, SPRINGFIELD, IL 62704-4174
(217) 698-3030
(217) 698-3068
Mailing address
2020 W ILES AVE, SPRINGFIELD, IL 62704-4174
(217) 698-3030
(217) 698-3068
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K2462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099170
—
IL
01
—
180037213
RAILROAD MEDICARE
IL
Enumeration date
05/06/2006
Last updated
03/15/2016
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