Individual
MARY COLLEEN BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1106 N MERCHANT ST, EFFINGHAM, IL 62401-2128
(217) 342-7000
(217) 342-7002
Mailing address
PO BOX 665, EFFINGHAM, IL 62401-0665
(217) 342-7000
(217) 342-7002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036089053
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089053
—
IL
Enumeration date
12/07/2005
Last updated
11/22/2021
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