IndividualActive
John Flack, MD, MPH
NPI 1164450987 · Hypertension Specialist Physician · Springfield, IL
Provider details
- NPI number
- 1164450987
- Entity type
- Individual
- Primary specialty
- Hypertension Specialist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 036-138254 (IL)
Practice location
751 N Rutledge St
Suite 1100
Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-4735
Mailing address
Po Box 19636
Springfield, IL 62794-9636
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.