Individual
DR. JAMES KOHLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1004 HEALTH CENTER DR # 100, MATTOON, IL 61938-9253
(217) 238-3435
(217) 238-3492
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-080007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03608000071
—
IL
01
—
1500153
BLUE CROSS BLUE SHIELD
IL
01
—
200012706
RR MEDICARE
—
Enumeration date
07/15/2005
Last updated
09/24/2018
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