Individual
ROBERT E. NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
Mailing address
PO BOX 10140, PEORIA, IL 61612-0140
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036086506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360865062
—
IL
01
—
220033039
RAILROAD
IL
Enumeration date
05/22/2006
Last updated
05/12/2011
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