Individual
BRUCE SHEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CARPENTER, SPRINGFIELD, IL 62769-0001
(217) 525-5666
Mailing address
800 E CARPENTER, SPRINGFIELD, IL 62769-0001
(217) 525-5666
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036069116
IL
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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