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Individual

MR. JAMES E MC GINN JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
318 MEMORIAL DR, SUITE 200, CRYSTAL LAKE, IL 60014-6267
(815) 455-1910
(815) 455-2541
Mailing address
318 MEMORIAL DR, SUITE 200, CRYSTAL LAKE, IL 60014-6267
(815) 455-1910
(815) 455-2541

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04923223
BLUE CROSS B S OF IL
IL
01
10619795
CAQH
01
131951
AMERICAN CHIRO NETWORK
01
5415928
CIGNA
Enumeration date
05/23/2006
Last updated
07/08/2007
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