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Individual

JASMIN L MCGINTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 N 8TH ST, STE PAV3B, SPRINGFIELD, IL 62701-1041
(217) 545-7500
(217) 545-7305
Mailing address
PO BOX 19650, SPRINGFIELD, IL 62794-9650
(217) 545-7500
(217) 545-7305

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
036.126074
IL
390200000X
Student in an Organized Health Care Education/Training Program
0116016434
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036126074
IL
Enumeration date
05/10/2007
Last updated
11/19/2010
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