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Organization

SPRINGFIELD EYE CONSULTANTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT ALLEN LOWENTHAL M.D. (VICE PRESIDENT)
(217) 544-2020
Entity
Organization

Contact information

Practice address
301 N 8TH ST STE 6B201, SPRINGFIELD, IL 62701-1064
(217) 544-2020
(217) 544-1519
Mailing address
301 N. 8TH ST., SUITE 6B-201, SPRINGFIELD, IL 62701-1064
(217) 544-2020
(217) 544-1519

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08432151
BC/BS
IL
01
611236600
ACS
IL
01
DE7074
RR MEDICARE GROUP#
IL
Enumeration date
07/30/2006
Last updated
07/25/2008
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