Individual
DR. JAMES WILLIAM FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 N PARKWAY DR, PEKIN, IL 61554-3932
(309) 347-5115
(309) 347-7036
Mailing address
1008 N MAIN ST, BLOOMINGTON, IL 61701-1784
(800) 325-7706
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036078398
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078398
—
IL
01
—
9000192
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/19/2005
Last updated
03/21/2013
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