Individual
DR. MATTHEW BLAINE EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 E CLARK ST, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 351-4859
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036127151
IL
208000000X
Pediatrics Physician
Primary
036127151
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036127151
IL
Other
Enumeration date
04/23/2009
Last updated
05/28/2026
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