Individual
DR. EAREL M. BELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021
(815) 285-5552
(815) 285-5865
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5552
(815) 285-5865
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36072589
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072589
—
IL
01
—
F400478088
MEDICARE
IL
Enumeration date
05/31/2006
Last updated
08/23/2018
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