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NPI Code Detail

MEDICARE: JAMES A WILCOX PC

MEDICARE: JAMES A WILCOX PC
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

General Provider Information

NPI Number : 1861427098
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES A WILCOX PC
Provider Business Mailing Address
First Line : PO BOX 382
Second Line :
City : BARRINGTON
State : IL
Zip : 60011-0382
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 : DIRECTOR
Name : DR. JAMES A WILCOX
Credential : D.O.
Telephone Number : 847-382-6579
Provider Enumeration Date : 07/12/2006
Last Update Date : 12/31/2007

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