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Individual

JAMES B MADISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2930 MONTUALE DR, STE C, SPRINGFIELD, IL 62704
(217) 726-8252
(217) 726-8262
Mailing address
2930 MONTUALE DR, STE C, SPRINGFIELD, IL 62704
(217) 726-8252
(217) 726-8262

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
IL

Other

Enumeration date
09/13/2005
Last updated
07/08/2007
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