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DWAIN CLARK ILLMAN M.D.
NPI 1548408057
Emergency Medicine in Bloomington, IN

Active since January 22, 2009
811 W 2ND ST, BLOOMINGTON, IN 47403(812) 353-3533(812) 353-3204 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dwain Clark Illman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DWAIN CLARK ILLMAN M.D. (NPI 1548408057) is an individual emergency medicine provider in Bloomington, Indiana, licensed in Indiana (01027208) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1548408057
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDWAIN CLARK ILLMANCredential: M.D.
Location Address811 W 2ND STBloomington, IN 47403-2251
Mailing AddressPo Box 2568Bloomington, IN 47402-2568 · (812) 353-3533 · Fax (812) 353-3202
Phone(812) 353-3533
Fax(812) 353-3204
Sole ProprietorNo
Enumeration DateJanuary 22, 2009
✔ NPI 1548408057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 01027208
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
811 W 2ND ST, Bloomington, IN 47403
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Other Identifiers 1

Medicare UPIND94630IN

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHASHANKA NETHI M.B.B.S.
Pediatrics
811 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 333-4001
MRS. EVELYN CHRISTEL QUIGLEY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
811 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 333-4001
RACHEL MIRA BEHREND NP
Nurse Practitioner (Family)
811 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 333-4001
SUNG S PARK NP
Nurse Practitioner (Adult Health)
811 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 333-4001
ELIZABETH MCKNIGHT RN
Nurse Practitioner (Family)
811 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 333-4001
GREGORY M SUTLIFF M.D.
Internal Medicine
811 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 333-4001
MRS. ELIZABETH SIMON LCAC
Counselor (Addiction (Substance Use Disorder))
811 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 333-4001
MS. THERESA KAY MCCLURE NP
Nurse Practitioner (Family)
811 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 333-4001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwain Illman's NPI number?

The NPI number for Dwain Illman is 1548408057. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Where is Dwain Illman located?

Dwain Illman practices at 811 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 353-3533.

What is Dwain Illman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Dwain Illman was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.