Individual
DR. JAMES F. HENSOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 N CUMMINGS LN, WASHINGTON, IL 61571-9267
(309) 444-2090
Mailing address
1201 N CUMMINGS LN, WASHINGTON, IL 61571-9267
(309) 444-2090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-072369
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072369 1
—
IL
01
—
279500
MEDICARE GROUP
—
01
—
P00382797
RAILROAD MEDICARE
—
Enumeration date
09/08/2006
Last updated
10/11/2017
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