Individual
EDGARD CUMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2239 E COOK ST, SPRINGFIELD, IL 62703-1944
(217) 788-2300
Mailing address
2239 E COOK ST, SPRINGFIELD, IL 62703-1944
(217) 788-2300
(217) 788-2341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036107283
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107283
—
IL
Enumeration date
10/12/2005
Last updated
10/23/2024
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