ALLEN BERNARD DEVLESCHOWARD M.D. NPI 1326191503

NPI Information

NPI: 1326191503
Provider Name: ALLEN BERNARD DEVLESCHOWARD, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
302 W HAY ST
STE 210
DECATUR, IL
ZIP 62526
Phone: (217) 877-5943
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Allen Bernard Devleschoward, M.D. is a specialist in Decatur, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Allen Bernard Devleschoward, M.D. NPI is 1326191503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

302 W HAY ST
STE 210
DECATUR, IL
ZIP 62526-167
Phone: (217) 877-5943
Fax: (217) 877-0023

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		036045992	ILLINOIS	No
2	2084N0400X	Psychiatry & Neurology	Neurology	036-045992	ILLINOIS	No
3	174400000X	Specialist			ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	036045992	MEDICAID	ILLINOIS
2	C44699	MEDICARE UPIN	ILLINOIS
3	284830	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
4	256510105	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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