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1245323005
ERIC RICHARD BLACK
SPRINGFIELD, IL
NPI
1245323005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH n/a)
Enumeration Date
2006-10-02
Last Update Date
2014-11-11
Business Address
Dr. ERIC RICHARD BLACK M.D.
901 W JEFFERSON ST
SPRINGFIELD, IL 62702-4833
Phone number: 217-545-8000
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Mailing Address
Dr. ERIC RICHARD BLACK M.D.
PO BOX 19642
SPRINGFIELD, IL 62794-9642
Phone number: 217-545-8000
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