Individual
BRIAN GEORGE MCELHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 W JACKSON ST, SUITE 101, CARBONDALE, IL 62901-1408
(618) 457-6787
(618) 549-9799
Mailing address
PO BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 457-5200
(618) 351-4821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036058838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058838
—
IL
Enumeration date
03/21/2006
Last updated
07/31/2013
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