Wayne Blevins Jr.
Wayne Blevins Jr. is an Emergency Medicine Physician in Carlinville, Illinois. Licensed in Florida and Illinois. Registered with an NPI since 2005.
- Licensed in
- FL, IL
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
11574 Rt 108Carlinville, IL 62626-4091
Phone: (217) 854-4319
Fax: (217) 854-2765
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence PA2642 (FL) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 085004267 (IL) |
Record details
| NPI number | 1902803869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 6, 2005 |
| Last updated in NPPES | April 23, 2015 |
| Mailing address | 715 Broadway St, Gillespie, IL 62033-1166 |
Other providers in Carlinville
-
Dr. Thomas Hatley, MD
20613 N Broad St, Carlinville, IL 62626 · (217) 368-3114
-
Illinois Emergency Physicians LLP
1001 E Morgan St, Carlinville, IL 62626-1448 · (217) 854-3141