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Individual

DR. JAMES W FARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036101973
IL
2085R0202X
Diagnostic Radiology Physician
2002007134
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36101973
IL
01
433970
HEALTHLINK
01
L95014
MEDICARE PIN
Enumeration date
05/17/2006
Last updated
12/04/2023
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