Healthcare Provider Details

I. General information

NPI: 1265053417
Provider Name (Legal Business Name): JAMES D FARRELL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 N COLLEGE ST
LINCOLN IL
62656-1401
US

IV. Provider business mailing address

515 N COLLEGE ST
LINCOLN IL
62656-1401
US

V. Phone/Fax

Practice location:
  • Phone: 217-732-9681
  • Fax:
Mailing address:
  • Phone: 217-732-9681
  • Fax: 217-735-6527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036165905
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: