Individual
DR. JOHN BYRNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-0002
(217) 544-6464
Mailing address
3404 RED HAWK, SPRINGFIELD, IL 62711-7881
(217) 546-5860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
030180
CT
207P00000X
Emergency Medicine Physician
Primary
036-109172
IL
207P00000X
Emergency Medicine Physician
35-062896 B
OH
207P00000X
Emergency Medicine Physician
C10003153
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109172
—
IL
Enumeration date
07/17/2006
Last updated
01/29/2015
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