Healthcare Provider Details

I. General information

NPI: 1407816044
Provider Name (Legal Business Name): SEAN F. FLYNN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 N MAPLE ST STE E
EFFINGHAM IL
62401-6401
US

IV. Provider business mailing address

PO BOX 372
MATTOON IL
61938-0372
US

V. Phone/Fax

Practice location:
  • Phone: 217-347-7030
  • Fax: 217-347-7197
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036104430
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: