Individual
MR. EVAN TEP BELFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N 14TH ST, MURPHYSBORO, IL 62966
(618) 687-2319
(618) 684-3321
Mailing address
801 N 14TH ST, MURPHYSBORO, IL 62966
(618) 687-2319
(618) 684-3321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-107906
IL
207Q00000X
Family Medicine Physician
036107906
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-107906
—
IL
01
—
039-32006
BLUE CROSS BLUE SHIELD
—
01
—
078338
HEALTH ALLIANCE
—
01
—
431741
HEALTH LINK
—
Enumeration date
08/22/2006
Last updated
04/07/2025
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