Individual
DR. JAMES MICHAEL KEARNS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.N.
Contact information
Practice address
800 E SOUTH ST, WOODSTOCK, IL 60098-4247
(815) 337-7109
(815) 337-4619
Mailing address
800 E SOUTH ST, WOODSTOCK, IL 60098-4247
(815) 337-7109
(815) 337-4619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625437
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/06/2006
Last updated
01/07/2008
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