Individual
DAVID M MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, PULMONARY MEDICINE, URBANA, IL 61801-2529
(217) 383-3190
(217) 383-7117
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036055209
IL
Other
Enumeration date
07/21/2006
Last updated
05/07/2014
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