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Individual

JAMES S PHARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
611 W PARK ST, HVI, URBANA, IL 61801-2500
(217) 904-7000
(217) 904-7742
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002326
IL

Other

Enumeration date
01/30/2007
Last updated
05/08/2014
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