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Individual

DR. ALTRESSA D DRUMMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226
(618) 257-6220
(618) 257-6679
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
(618) 257-6679

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301084675
MI
208M00000X
Hospitalist Physician
Primary
036137386
IL
208M00000X
Hospitalist Physician
2017001186
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4652527
MI
01
BLUE CROSS
1101110432
MI
01
CIGNA
8571064
01
P00189667
RAILROAD MEDICARE
Enumeration date
06/26/2006
Last updated
03/07/2023
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