| Brian G. Mcelheny, M.d. Ltd | |
|
207 W Jackson St Suite # 101 Carbondale IL 62901-1408 | |
| (618) 457-6796 | |
| (618) 549-9799 |
| Full Name | Brian G. Mcelheny, M.d. Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 207 W Jackson St, Carbondale, Illinois |
| Authorized Official Name and Position | Brian George Mcelheny, M.d. Ltd (PHYSICIAN) |
| Authorized Official Contact | 6184576787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian G. Mcelheny, M.d. Ltd 207 W Jackson St Suite # 101 Carbondale IL 62901-1408 Ph: (618) 457-6796 | Brian G. Mcelheny, M.d. Ltd 207 W Jackson St Suite # 101 Carbondale IL 62901-1408 Ph: (618) 457-6796 |
| NPI Number | 1922203249 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922203249 | NPI | - | NPPES |
| 036058838 | Medicaid | IL | |
| 207Q00000X | Other | IL | TAXONOMY CODE |
| 080007297 | Other | IL | RAILROAD MEDICARE |
| 1386603033 | Other | IL | INDIVIDUAL NPI |
| 1922203249 | Other | IL | CORPORATE NPI |
| 114152 | Other | IL | HEALTHLINK, INC |
| 3900160 | Other | IL | BLUE CROSS/BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036058838 (Illinois) | Primary |
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