Organization
SPRINGFIELD EYE CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLEN LOWENTHAL M.D. (VICE PRESIDENT)
(217) 544-2020
Entity
Organization
Contact information
Practice address
300 N BROAD ST, CARLINVILLE, IL 62626-1304
(217) 544-2020
(217) 544-1519
Mailing address
301 N. 8TH ST., SUITE 6B-201, SPRINGFIELD, IL 62701-1064
(217) 544-2020
(217) 544-1519
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432151
BC/BS
IL
01
—
611236600
ACS
IL
01
—
DE7074
RR MEDICARE GROUP #
IL
Enumeration date
07/30/2006
Last updated
07/25/2008
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