Individual
DR. JOHN E LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 S LOCUST ST, TREMONT, IL 61568-0187
(309) 925-2961
(309) 925-4221
Mailing address
105 S LOCUST ST, PO BOX 187, TREMONT, IL 61568-0187
(309) 925-2961
(309) 925-4221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036055259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055259
—
IL
01
—
080031011
RAILROAD MEDICARE
IL
01
—
0901565684
BCBS
IL
Enumeration date
07/27/2005
Last updated
05/15/2008
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