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1700922267
JAMES W PHOENIX
BELVIDERE, IL
NPI
1700922267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036059274)
Enumeration Date
2007-01-30
Last Update Date
2015-06-18
Business Address
Dr. JAMES W PHOENIX MD
1747 HENRY LUCKOW LN
BELVIDERE, IL 61008-1702
Phone number: 815-971-3030
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Mailing Address
Dr. JAMES W PHOENIX MD
1747 HENRY LUCKOW LN
BELVIDERE, IL 61008-1702
Phone number: 815-971-3030
Copy
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