Poag, John L
Poag, John L is an individual health care provider with primary practice located at 1401 Eastland Dr , Bloomington IL 61701-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Poag, John L can be contacted via phone (309) 663-8311.Contact Information
Primary practice address
1401 Eastland Dr
Bloomington IL 61701-3514
Phone: (309) 663-8311
Fax: (309) 663-1810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036098050 | Illinois |
Profile Details
| NPI number | 1770569550 |
|---|---|
| LBN Legal business name | Poag, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Apr 24th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770569550 | NPPES |
| Illinois | MEDICAID | 036098050 | |
| Illinois | Other | 5715384 |
Popular Providers
-
Stancu, Mihaela Monica
1505 Eastland Dr Suite 330, Bloomington IL 61701-3534 -
Swanson, James E
1401 Eastland Dr , Bloomington IL 61701-3514 -
Mclain, Scott William
1701 E College Ave , Bloomington IL 61704 -
Kindred, Stephen L
1401 Eastland Dr , Bloomington IL 61701-3552 -
Short, Virgil D.
326 Fairway Dr , Bloomington IL 61701-3462 -
Stivers, Mark
207 E Hamilton Rd , Bloomington IL 61704-7527 -
Cochran, Michael R
1401 Eastland Dr , Bloomington IL 61701-3552 -
Klauss, Sven
1401 Eastland Dr , Bloomington IL 61701-3552