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Individual

DR. CRAIG S VINCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
340 W LINCOLN ST, STE. 400, BELLEVILLE, IL 62220-1900
(618) 233-6044
(618) 233-5195
Mailing address
340 W LINCOLN ST, STE. 400, BELLEVILLE, IL 62220-1900
(618) 233-6044
(618) 233-5195

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036136030
IL
208D00000X
General Practice Physician
160974
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036136030
IL
05
3198626
MA
01
P01374239
RAILROAD
IL
Enumeration date
11/14/2005
Last updated
04/17/2017
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