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Search › Illinois › 207R00000X

Sam Gaines, M.D

NPI 1730115643 · on the registry since 2006

Practice

Address
Virginia & Franklin Streets
Normal, IL 61761
Phone
(309) 827-4321
Organisation at this address
Prairie Emergency Group, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207P00000X
207PE0004X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois