Individual
DR. JAMES H WYNSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N 1ST STREET, 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
036079641
IL
Other
Enumeration date
10/12/2006
Last updated
07/23/2015
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