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Individual
JOHN A MCCALLISTER
Active
Individual
JOHN A MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036073147
IL
208000000X
Pediatrics Physician
Primary
018027
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073147
—
IL
01
—
07215036
BCBS
IL
05
—
433395099
—
ME
01
—
IL01T7
JOHN DEERE
IL
Enumeration date
03/14/2006
Last updated
12/19/2018
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