Individual
PATRICK R HEMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-0001
(217) 544-6464
Mailing address
PO BOX 10200, PEORIA, IL 61612-0200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036114938
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011112
HEALTH ALLIANCE
IL
01
—
020102500
BLACK LUNG
IL
05
—
036114938
—
IL
01
—
14D0435736
CLIA
IL
01
—
32017
PERSONAL CARE ID
IL
01
—
684895
HEALTHLINK
IL
01
—
P00327016
RAILROAD MEDICARE PIN
IL
Enumeration date
01/31/2006
Last updated
05/12/2011
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