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Contact Information

JOHN M FLACK, MD, MPH
751 N RUTLEDGE ST
SUITE 1100
SPRINGFIELD, IL62702-4968
 Phone: 217-545-8000
 Fax: 217-545-4735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN M FLACK · (Male)

NPI # 1164450987
Status Active
Credentials MD, MPH
Entity Individual
Enumeration date 06/29/2006
Last updated 10/21/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-138254
  • IL Medicaid 036138254
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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