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Contact Information

GARY B WESTERN, MD
800 N. 1ST STREET
SPRINGFIELD, IL62702
 Phone: 217-528-7541
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GARY B WESTERN · (Male)

NPI Number 1457462558
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 05/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-106083
  • IL Medicaid 036106083
Hospital affiliation(s)
  • CARLINVILLE AREA HOSPITAL - (Critical Access)
    20733 N BROAD STREET
    CARLINVILLE, IL 62626
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
  • TAYLORVILLE MEMORIAL HOSPITAL - (Critical Access)
    201 EAST PLEASANT STREET
    TAYLORVILLE, IL 62568
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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