Healthcare Provider Details

I. General information

NPI: 1952370868
Provider Name (Legal Business Name): DANIEL G BATTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N 9TH ST SUITE 4W16
SPRINGFIELD IL
62702-5303
US

IV. Provider business mailing address

PO BOX 19639
SPRINGFIELD IL
62794-9639
US

V. Phone/Fax

Practice location:
  • Phone: 800-331-2229
  • Fax: 217-757-6844
Mailing address:
  • Phone: 217-545-7578
  • Fax: 217-545-1884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number036-121163
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: