Individual
DR. JAMES KEITH MCKECHNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 PROFESSIONAL PLZ, MATTOON, IL 61938-9252
(217) 348-1030
(217) 348-1090
Mailing address
103 PROFESSIONAL PLZ, MATTOON, IL 61938-9252
(217) 348-1030
(217) 348-1090
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036058473
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002811
HEALTH ALLIANCE
IL
05
—
036058473
—
IL
01
—
133038
HEALTHLINK PROVDER ID
IL
01
—
1515701
BLUE SHIELD ID
IL
01
—
236090
MEDICARE PTAN
IL
01
—
791203439
RAILROAD MEDICARE
IL
Enumeration date
12/04/2006
Last updated
12/08/2009
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