Individual
JAMES S LINDBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 W SOUTH ST, KEWANEE, IL 61443-3661
(309) 853-5360
(309) 853-5106
Mailing address
204 W SOUTH ST, KEWANEE, IL 61443-3661
(309) 853-5360
(309) 853-5106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036098462
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098462
—
IL
05
—
0360984625
—
IL
01
—
03732035
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/12/2006
Last updated
10/04/2012
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