Individual
RAYMOND S. BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651
Mailing address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036069778
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069778
—
IL
Enumeration date
03/23/2006
Last updated
12/16/2011
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