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Organization

JOHN W. NEWLIN, M.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WESLEY NEWLIN M.D. (PHYSICIAN/OWNER)
(217) 872-8100
Entity
Organization

Contact information

Practice address
302 W HAY ST, SUITE 130, DECATUR, IL 62526-4167
(217) 872-8100
(217) 872-8101
Mailing address
302 W HAY ST, SUITE 130, DECATUR, IL 62526-4167
(217) 872-8100
(217) 872-8101

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036074839
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005800283
BCBS
IL
01
004400
HEALTH ALLIANCE
05
036074839
IL
01
110203310
RAILROAD MEDICARE
IL
01
122478
HEALTHLINK
01
195549
COVENTRY
Enumeration date
01/09/2014
Last updated
01/09/2014
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