| Doctor Name: | DR. JAMES E. PROBST |
| NPI Number: | 1194729517 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 036104243I |
| Business Practice Address: | 8 Doctors Park Rd Mount Vernon, IL - 628646224 |
| Business Phone Number: | 6182445500 |
| Business Fax Number: | 8559686372 |
| Mailing Address: | 2250 N Illinois Ave, CARBONDALE |
| State: | IL |
| Postal Code: | 629015612 |
| Phone Number: | 6188331691 |
| Fax Number: | 8559686372 |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 02/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036104243I |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |