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Contact Information

JAMES W FARRELL, MD
101 N PARKWAY DR
PEKIN, IL61554-3932
 Phone: 309-347-5115
 Fax: 309-347-7036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JAMES W FARRELL · (Male)

NPI Number 1700885175
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2005
Last updated 03/21/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036078398
  • IL Medicaid 036078398
  • IL Other 9000192 BLUE CROSS BLUE SHIELD
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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