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Individual

JOHN M MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
(309) 649-8949
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
(309) 649-5302

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036117191
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-117191
IL
01
036117191
LICENSE NUMBER
IL
Enumeration date
05/21/2007
Last updated
07/25/2011
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