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Individual

JOSEPH Q HENKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
751 N RUTLEDGE ST STE 2100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-4734
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-8000
(217) 545-4734

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036072889
IL
207RP1001X
Pulmonary Disease Physician
Primary
036072889
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036072889
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036072889
IL
Enumeration date
10/06/2005
Last updated
10/03/2018
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