Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DWAIN CLARK ILLMAN, M.D.
ActiveDWAIN CLARK ILLMAN, M.D. is a Emergency Medicine healthcare provider located in BLOOMINGTON, Indiana. NPI 1548408057 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1548408057
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2009 (17.539386977486 yrs)
- Last Updated
- Jan 22, 2009
- License
-
01027208 (IN)
Practice Information
- Address
-
811 W 2ND STBLOOMINGTON, IN, 474032251Browse IN providers · Browse ZIP 47403
- Phone
- 8123533533
- Fax
- 8123533204
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| MATTHEW S REEVES | DO | 1902801798 |
| RONALD C JENSON | DO | 1043297278 |
| KATHERINE MOSHER HILLER | MD | 1841265147 |
| DR. CHRISTINA M CABOTT | DO | 1073562518 |
| LEIGH A. HALPERN | MD | 1508810847 |
| DR. JOHN D RAY | MD | 1326074303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.