Individual
STEPHEN R HAZELRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 W CARPENTER ST, 2ND FLOOR, SPRINGFIELD, IL 62702-4901
(217) 545-7422
(217) 545-7053
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-7422
(217) 545-7053
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036072099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072099
—
IL
Enumeration date
11/09/2005
Last updated
10/26/2020
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