Individual
JOHN C PURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E WATER ST, PONTIAC, IL 61764-2023
(815) 842-1166
(815) 844-5968
Mailing address
PO BOX 470, PONTIAC, IL 61764-0470
(815) 842-1166
(815) 844-5968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05300058
BCBS
IL
Enumeration date
10/05/2007
Last updated
10/09/2007
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