Search › Indiana › 207P00000X
Dwain Illman, M.D
NPI 1548408057 · on the registry since 2009
Practice
- Address
- 811 W 2nd St
Bloomington, IN 47403 - Phone
- (812) 353-3533
- Fax
- (812) 353-3204
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana