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Individual

DR. JAMES DANIEL HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 N 1ST ST STE D220, SPRINGFIELD, IL 62702-3757
(217) 545-3518
(217) 545-2711
Mailing address
PO BOX 19679, SPRINGFIELD, IL 62794-9679
(217) 545-3518
(217) 545-2711

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125072354
IL
207P00000X
Emergency Medicine Physician
MD-48623
IA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD-48623
IA

Other

Enumeration date
06/11/2018
Last updated
09/09/2022
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