Organization
JULIO C. VIJIL, SR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY F. MCCARREL (OFFICE MANAGER)
(217) 698-8850
Entity
Organization
Contact information
Practice address
2901 OLD JACKSONVILLE RD, SUITE B3, SPRINGFIELD, IL 62704-7437
(217) 698-8850
(217) 698-8904
Mailing address
2901 OLD JACKSONVILLE RD, SUITE B3, SPRINGFIELD, IL 62704-7437
(217) 698-8850
(217) 698-8904
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467441550
NPI
IL
Enumeration date
11/26/2007
Last updated
11/26/2007
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