Organization
BRIAN G. MCELHENY, M.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN GEORGE MCELHENY, M.D. LTD M.D. (PHYSICIAN)
(618) 457-6787
Entity
Organization
Contact information
Practice address
207 W JACKSON ST, SUITE # 101, CARBONDALE, IL 62901-1408
(618) 457-6796
(618) 549-9799
Mailing address
207 W JACKSON ST, SUITE # 101, CARBONDALE, IL 62901-1408
(618) 457-6796
(618) 549-9799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036058838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058838
—
IL
01
—
080007297
RAILROAD MEDICARE
IL
01
—
114152
HEALTHLINK, INC
IL
01
—
1386603033
INDIVIDUAL NPI
IL
01
—
1922203249
CORPORATE NPI
IL
01
—
207Q00000X
TAXONOMY CODE
IL
01
—
3900160
BLUE CROSS/BLUE SHEILD
IL
Enumeration date
06/18/2007
Last updated
07/16/2013
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