Individual
DR. JAMES E. PROBST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 244-5500
(855) 968-6372
Mailing address
2250 N ILLINOIS AVE, CARBONDALE, IL 62901-5612
(618) 833-1691
(855) 968-6372
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036104243
IL
207P00000X
Emergency Medicine Physician
Primary
036104243
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036104243
IL
208D00000X
General Practice Physician
036104243I
IL
Other
Enumeration date
06/13/2005
Last updated
02/17/2016
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