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Contact Information

CLARK B RIANS, MD
303 N WILLIAM KUMPF BLVD
PEORIA, IL61605-2507
 Phone: 309-676-5546
 Fax: 309-647-6504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CLARK B RIANS · (Male)

NPI Number 1568462687
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2005
Last updated 12/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 36067263
  • IL Medicaid 36067263
Hospital affiliation(s) Not Available
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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