Dwain Clark Illman, MD - Emergency Medicine in Bloomington, IN

Dwain Clark Illman, MD is a Emergency Medicine physician based in Bloomington, Indiana. Dwain Clark Illman is licensed to practice in Indiana (license number 01027208) and his current practice location is 811 W 2nd St, Bloomington, Indiana. He can be reached at his office (for appointments etc.) via phone at (812) 353-3533.

NPI number for Dwain Clark Illman is 1548408057 and his current mailing address is Po Box 2568, Bloomington, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548408057.

Contact Information

Dwain Clark Illman, MD
811 W 2nd St,
Bloomington, IN 47403-2251
(812) 353-3533
(812) 353-3204

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Physician's Profile

Full NameDwain Clark Illman
GenderMale
SpecialityEmergency Medicine
Location811 W 2nd St, Bloomington, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548408057
  • Provider Enumeration Date: 01/22/2009
  • Last Update Date: 01/22/2009

Medical Identifiers

Medical identifiers for Dwain Clark Illman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548408057NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01027208 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dwain Clark Illman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dwain Clark Illman, MD
Po Box 2568,
Bloomington, IN 47402-2568

Ph: (812) 353-3533
Dwain Clark Illman, MD
811 W 2nd St,
Bloomington, IN 47403-2251

Ph: (812) 353-3533

Reviews and Comments


Emergency Medicine Doctors in Bloomington, IN

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Dr. John Austin Lee, MD, MPH
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Dr. Carlyle George Langhorn Jr., M.D.
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Jonathan D Hart, M.D.
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Phone: 812-355-2300    Fax: 812-355-2316

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