Individual
DR. LESTER J. FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1248
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-8107
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-077871
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077871 1
—
IL
01
—
070004611
RAILROAD MEDICARE
—
01
—
279500
MEDICARE GROUP
—
Enumeration date
08/01/2006
Last updated
10/15/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us