Individual
DR. JOHN STEPHEN ESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 EASTLAND DR, SUITE 2300, BLOOMINGTON, IL 61701-3534
(309) 662-9022
(309) 662-2091
Mailing address
1505 EASTLAND DR, SUITE 2300, BLOOMINGTON, IL 61701-3534
(309) 662-9022
(309) 662-2091
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036075004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036075004
PUBLIC AID
IL
01
—
05700284
BLUE CROSS BLUE SHIELD
ID
Enumeration date
07/06/2006
Last updated
06/12/2008
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