SearchIllinoisEmergency Medicine Physician

Wayne Blevins

NPI 1902803869 · on the registry since 2005

Practice

Address
11574 Rt 108
Carlinville, IL 62626
Phone
(217) 854-4319
Fax
(217) 854-2765

Registry record

Primary taxonomy
Emergency Medicine Physician
207P00000X
Also registered as
Physician Assistant
Licence states on file
FL, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-23

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 Illinois