Individual
JOAN A ESPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 N 9TH ST, SUITE 2W106, SPRINGFIELD, IL 62702-5303
(217) 545-5817
(217) 545-7021
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-122061
IL
207RX0202X
Medical Oncology Physician
Primary
036-122061
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122061
—
IL
Enumeration date
10/31/2008
Last updated
12/23/2008
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