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Individual

FRANK M EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(618) 231-2700
Mailing address
4227 LINCOLNSHIRE DR, MOUNT VERNON, IL 62864-2157
(618) 242-2317
(618) 242-9710

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036103229
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036103229
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036103229
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036103299
IL
Enumeration date
08/02/2006
Last updated
07/21/2023
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