Organization
EYE MDS OF QUINCY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D HAYASHI M.D. (PRESIDENT)
(217) 224-2020
Entity
Organization
Contact information
Practice address
709 BROADWAY ST, QUINCY, IL 62301-2716
(217) 224-2020
(217) 228-1420
Mailing address
709 BROADWAY ST, QUINCY, IL 62301-2716
(217) 224-2020
(217) 228-1420
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF0748
PALMETTO GBA
IL
Enumeration date
08/22/2006
Last updated
04/16/2008
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