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NPI Code Detail

MEDICARE: JAMES LOVE M.D.

MEDICARE: JAMES LOVE M.D.
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
1207R00000XInternal Medicine Physician15785OK
2207R00000XInternal Medicine Physician036.168113IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073595310
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES LOVE M.D.
Provider Business Mailing Address
First Line : 201 E MADISON ST STE 328
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62702-5131
Country : US
Telephone Number : 217-545-1881
Fax Number :
Provider Business Practice Location Address
First Line : 612 N 11TH ST
Second Line :
City : QUINCY
State : IL
Zip : 62301-2662
Country : US
Telephone Number : 217-545-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 01/08/2024

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Directions to “ JAMES LOVE M.D.” Practice Location

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