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Individual

JOHN D KAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
903 MEDICAL PARK DR, EFFINGHAM, IL 62401-2190
(217) 347-2933
(217) 347-2932
Mailing address
PO BOX 372, MATTOON, IL 61938-0372

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036073021
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010025378
RAILROAD MEDICARE
05
036073021
IL
01
2500068
BLUE CROSS
IL
Enumeration date
05/18/2006
Last updated
03/10/2026
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