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NPI Code Detail

MEDICARE: DR. SEAN F. FLYNN M.D.

MEDICARE:  DR. SEAN F. FLYNN  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
1207Q00000XFamily Medicine Physician036104430IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080193907OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21351483OTHERFIRST HEALTH/ COVENTRY
3461699OTHERILHEALTHLINK
4336065138OTHERILILLINOIS CONTROLLED SUBSTANCE LICENSE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6170989OTHERPERSONAL CARE
7036104430OTHERILILLINOIS LICENSE
8076638OTHERILHEALTH ALLIANCE
90032540072OTHERILBLUE CROSS BLUE SHIELD IL

General Provider Information

NPI Number : 1407816044
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN F. FLYNN M.D.
Provider Business Mailing Address
First Line : PO BOX 372
Second Line :
City : MATTOON
State : IL
Zip : 61938-0372
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 905 N MAPLE ST STE E
Second Line :
City : EFFINGHAM
State : IL
Zip : 62401-6401
Country : US
Telephone Number : 217-347-7030
Fax Number : 217-347-7197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 10/06/2025

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Directions to “ DR. SEAN F. FLYNN M.D.” Practice Location

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