Individual
BLAIR M. ROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., GENERAL SURGERY, URBANA, IL 61801-2500
(217) 383-3240
(217) 383-4597
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036129880
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000877621B
GEORGIA MEDICAID
GA
05
—
T43548
—
SC
Enumeration date
05/31/2006
Last updated
12/22/2015
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