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Individual

JAMES R EGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
509 W. UNIVERSITY AVE, URBANA, IL 61801
(217) 383-6636
(217) 383-3466
Mailing address
P.O. BOX 6002, URBANA, IL 61803
(217) 383-6792

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036063933
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0533210001
DMERC
IL
01
900000138
RAILROAD
IL
Enumeration date
07/19/2006
Last updated
07/24/2014
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