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NPI Code Detail

MEDICARE: DR. JAMES A WILCOX D.O.

MEDICARE: DR. JAMES A WILCOX D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036109429IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104932483OTHERILBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730187949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES A WILCOX D.O.
Provider Business Mailing Address
First Line : 120 N NORTHWEST HWY
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-3347
Country : US
Telephone Number : 847-382-6579
Fax Number : 847-382-7194
Provider Business Practice Location Address
First Line : 120 N NORTHWEST HWY
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-3347
Country : US
Telephone Number : 847-382-6579
Fax Number : 847-382-7194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 10/09/2012

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