| James E Wachter, MD | |
|
1006 S Division St, Carterville, IL 62918-1539 | |
| (618) 985-4841 | |
| (618) 985-8101 |
| Full Name | James E Wachter |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1006 S Division St, Carterville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982655692 | NPI | - | NPPES |
| CF3444 | Other | IL | MEDICARE RAILROAD GROUP |
| 370966854004 | Medicaid | IL | |
| 036076399 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036076399 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James E Wachter, MD Po Box 577, Carterville, IL 62918-0577 Ph: (618) 985-8221 | James E Wachter, MD 1006 S Division St, Carterville, IL 62918-1539 Ph: (618) 985-4841 |
Kaif Mohammed Yusuf Mansuri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-519-9200 Fax: 618-985-3774 |