Healthcare Provider Details

I. General information

NPI: 1346689114
Provider Name (Legal Business Name): JOSHUA DAVID BILLINGTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E TREMONT ST
HILLSBORO IL
62049-1912
US

IV. Provider business mailing address

1025 S SIXTH
SPRINGFIELD IL
62703-2403
US

V. Phone/Fax

Practice location:
  • Phone: 217-528-7541
  • Fax:
Mailing address:
  • Phone: 217-528-7541
  • Fax: 217-525-7616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036140383
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: