Organization
UNIVERSITY RADIOLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WYNSTRA M.D. (PARTNER)
(217) 971-1290
Entity
Organization
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3260
Mailing address
PO BOX 776058, CHICAGO, IL 60677-6058
(217) 917-4494
(630) 597-7247
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
07/22/2015
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