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NPI Code Detail

MEDICARE: DR. JEROME J EPPLIN MD

MEDICARE: DR. JEROME J EPPLIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036053272IL
2207QG0300XGeriatric Medicine (Family Medicine) Physician036053272IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080022053OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144270596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEROME J EPPLIN MD
Provider Business Mailing Address
First Line : 1285 FRANCISCAN DR
Second Line :
City : LITCHFIELD
State : IL
Zip : 62056-1778
Country : US
Telephone Number : 217-324-6127
Fax Number : 217-324-5959
Provider Business Practice Location Address
First Line : 1285 FRANCISCAN DR
Second Line :
City : LITCHFIELD
State : IL
Zip : 62056-1778
Country : US
Telephone Number : 217-324-6127
Fax Number : 217-324-5959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 04/22/2008

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Directions to “ DR. JEROME J EPPLIN MD” Practice Location

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