Individual
JAMES M HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1414 CROSS ST STE 230, SHILOH, IL 62269-2941
(618) 607-1260
Mailing address
1414 CROSS ST STE 230, SHILOH, IL 62269-2941
(618) 607-1260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-114626
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046930
GHP
—
01
—
2696788
UHC/COMMERCIAL
—
01
—
559539145
BLUE CROSS BLUE SHIELD
IL
01
—
678480001
DMERC
—
01
—
7367913
AETNA
—
01
—
744967
HEALTHLINK
—
01
—
P00912314
RR MEDICARE
—
Enumeration date
10/24/2005
Last updated
09/22/2025
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