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Individual

JAMES C ALTHOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
251 MARKET PLACE DRIVE, SUITE 100, FREEBURG, IL 62243-1393
(618) 539-0067
(618) 539-0288
Mailing address
739 N JEFFERSON ST, SUITE 200, MASCOUTAH, IL 62258
(618) 566-8810
(618) 566-7121

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036091574
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036091574
IL
Enumeration date
08/22/2006
Last updated
10/18/2010
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