Individual
BRUCE E SEMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E MAIN ST, ROCHESTER, IL 62563-9507
(217) 498-5949
(217) 498-5950
Mailing address
101 E MAIN ST, ROCHESTER, IL 62563-9507
(217) 498-5949
(217) 498-5950
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
036-099321
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008426749
BLUE CROSS & BLUE SHIELD
IL
01
—
070016016
RAILROAD MEDICARE
—
01
—
399465
HEALTHLINK
IL
05
—
7001271
—
NC
05
—
806979200
—
ID
Enumeration date
09/16/2006
Last updated
02/05/2025
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