Individual
DR. ELIZABETH MYINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 EAST CARPENTER STREET, ROOM 2K64, SPRINGFIELD, IL 62769-0001
(217) 525-5643
(217) 544-2521
Mailing address
800 EAST CARPENTER STREET, ROOM 2K64, SPRINGFIELD, IL 62769-0001
(217) 525-5643
(217) 544-2521
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036100486
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100486
—
IL
01
—
08415040
BLUE CROSS BLUE SHIELD
IL
01
—
085972
HEALTH ALLIANCE NUMBER
IL
01
—
104409
HEALTHLINK GROUP NUMBER
IL
01
—
133279400
US DEPT OF LABOR
IL
01
—
32490
PERSONAL CARE
IL
01
—
L031806
TRICARE
IL
Enumeration date
10/12/2005
Last updated
01/06/2022
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