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Individual

CODY JOHN CARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 N 8TH ST STE 3A158, SPRINGFIELD, IL 62701-1085
(217) 545-3134
Mailing address
301 N 8TH ST STE 3A158, SPRINGFIELD, IL 62701-1085
(217) 545-3134

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125084143
IL

Other

Enumeration date
06/06/2024
Last updated
06/06/2024
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