Individual
DR. ERIC RICHARD BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W JEFFERSON ST, SPRINGFIELD, IL 62702-4833
(217) 545-8000
(217) 545-2275
Mailing address
PO BOX 19642, SPRINGFIELD, IL 62794-9642
(217) 545-8000
(217) 545-2275
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036133840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036133840
—
IL
Enumeration date
10/02/2006
Last updated
05/22/2025
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