Individual
ERIK J CONSTANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST, STE 1100, SPRINGFIELD, IL 62702-4909
(217) 545-0182
(217) 545-4735
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-0182
(217) 545-4735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-081514
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081514
—
IL
Enumeration date
12/13/2005
Last updated
06/22/2009
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