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Individual

DR. DANIEL DOUGLAS BROWNSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1505 EASTLAND DR, STE 2200, BLOOMINGTON, IL 61701-7910
(309) 662-7700
(309) 662-0829
Mailing address
1107 AIRPORT RD, BLOOMINGTON, IL 61704-2544
(309) 662-7700
(309) 662-0829

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036090263
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036090263
IL
01
05700231
BCBS PROVIDER NUMBER
IL
01
180022688
RAILROAD MEDICARE PROV NO
IL
Enumeration date
06/10/2005
Last updated
02/13/2020
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