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Organization
JOHN W. RINKER
Active
Organization
JOHN W. RINKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W RINKER DO (OWNER)
(815) 842-3381
Entity
Organization
Contact information
Practice address
1515 W REYNOLDS ST, PONTIAC, IL 61764-9673
(815) 842-3381
(815) 842-2054
Mailing address
1515 W REYNOLDS ST, PONTIAC, IL 61764-9673
(815) 842-3381
(815) 842-2054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036074643
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074643
—
IL
01
—
5300107
BCBS
IL
Enumeration date
07/17/2008
Last updated
07/17/2008
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