Individual
RICHARD PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 WEST UNIVERSITY AVENUE, URBANA, IL 61801
(217) 383-3311
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MOR5G20
MO
208600000X
Surgery Physician
Primary
036051386
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037225100
—
MD
01
—
0533210001
DMERC
IL
01
—
09-00307
UHC
MO
05
—
102528833
—
PA
01
—
1123050001
CIGNA MEDICARE
MO
01
—
1592722
GATEWAY-WMG
—
01
—
179373
HEALTHLINK
MO
01
—
200025012
RAILROAD MEDICARE
MO
05
—
202362927
—
MO
01
—
2532177
HIGHMARK BLUE SHIELD-WMG
PA
01
—
2831
GHP
MO
01
—
30084779
AMERIHEALTH MERCY-WMG
PA
01
—
35270
BCBS
MO
01
—
35915
HEALTHCARE USA
MO
01
—
393227
UNISON-WMG
PA
01
—
416251
UPMC-WMG
PA
01
—
I603
PRINCIPAL
MO
Enumeration date
02/13/2006
Last updated
09/03/2012
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