Individual
DR. FREDERICK M RAUSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 W ILES AVE, SPRINGFIELD, IL 62704-7015
(217) 698-3030
(217) 698-4728
Mailing address
2020 W ILES AVE, SPRINGFIELD, IL 62704-7015
(217) 698-3030
(217) 698-4728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036120155
IL
207W00000X
Ophthalmology Physician
ME99072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120155
—
IL
01
—
P00621420
RAILROAD MEDICARE
IL
Enumeration date
07/24/2007
Last updated
12/07/2010
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