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Contact Information

ERIC R BLACK, MD
901 W JEFFERSON ST
SPRINGFIELD, IL62702-4833
 Phone: 217-545-8000
 Fax: 217-545-2275
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ERIC R BLACK · (Male)

NPI Number 1245323005
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 05/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036133840
  • IL Medicaid 036133840
Hospital affiliation(s)
  • DECATUR MEMORIAL HOSPITAL - (Acute Care)
    2300 NORTH EDWARD STREET
    DECATUR, IL 62526
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
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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