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Individual

DR. JOSEPH JOHN BAIMA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-114817
IL
2085R0202X
Diagnostic Radiology Physician
37169
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036114817
IL
Enumeration date
12/11/2006
Last updated
08/22/2022
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