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1770105249
GARY HENDRICKS
SPRINGFIELD, IL
NPI
1770105249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036.165238)
Enumeration Date
2020-05-07
Last Update Date
2023-07-05
Business Address
GARY HENDRICKS MD
701 N 1ST ST
SPRINGFIELD, IL 62781-3757
Phone number: 217-788-3156
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Mailing Address
GARY HENDRICKS MD
PO BOX 19679
SPRINGFIELD, IL 62794-9679
Phone number: 217-545-3518
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