Individual
DR. JEREMY D TOPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 238-4960
(217) 238-4951
Mailing address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 238-4960
(217) 238-4951
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036105579
IL
207RP1001X
Pulmonary Disease Physician
Primary
036105579
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105579
—
IL
05
—
100086669
—
WI
Enumeration date
11/08/2006
Last updated
12/30/2021
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