Individual
PHILLIP D ALWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 W HAY ST, SUITE 311, DECATUR, IL 62526-6328
(217) 698-3030
(217) 698-4728
Mailing address
2020 W ILES AVNEUE, SPRINGFIELD, IL 62704-7015
(217) 698-3030
(217) 698-4728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036054803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054803
—
IL
01
—
180022789
RR MEDICARE
IL
Enumeration date
03/24/2006
Last updated
04/05/2017
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