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Individual
DR. JOHN E LOVELL
Active
Individual
DR. JOHN E LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036055259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055259
—
IL
01
—
080031011
RAILROAD MEDICARE
IL
01
—
0901565684
BCBS
IL
Enumeration date
07/27/2005
Last updated
05/15/2008
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