Individual
JAMES E DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 W. FAIRCHILD STREET, FAMILY MEDICINE/CONVENIENT CARE, DANVILLE, IL 61832
(217) 431-7650
(217) 431-7634
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036071275
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6447860014
—
IL
Enumeration date
07/11/2006
Last updated
06/05/2012
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