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Contact Information

JAMES E DEBOER, MD
311 W. FAIRCHILD STREET
FAMILY MEDICINE/CONVENIENT CARE
DANVILLE, IL61832
 Phone: 217-431-7650
 Fax: 217-431-7634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAMES E DEBOER · (Male)

NPI Number 1801821558
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 06/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 036071275
  • IL Medicaid 6447860014
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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