Individual
RODGER J ELBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4909
(217) 545-8417
(217) 545-1903
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036062029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062029
—
IL
Enumeration date
11/11/2005
Last updated
10/21/2020
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