Individual
BRIAN L MCELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 MEMORIAL DR, DEPT RADIOLOGY, BELLEVILLE, IL 62226-5360
(618) 257-9567
Mailing address
PO BOX 662, EDWARDSVILLE, IL 62025-0662
(877) 833-5034
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360912081
—
IL
01
—
1357913
BCBS OF TN
TN
Enumeration date
05/20/2006
Last updated
07/08/2007
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