Individual
DR. JAMES FRANCIS QUEENAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
(309) 649-6880
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
(309) 647-8613
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036142261
IL
207X00000X
Orthopaedic Surgery Physician
2007018575
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27640000
—
ME
Enumeration date
08/16/2005
Last updated
04/13/2021
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