Conlon, Joseph D.

Conlon, Joseph D. is an individual health care provider with primary practice located at 2200 Wabash Ave , Springfield IL 62704-5352. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is his primary health care specialty. Conlon, Joseph D. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
2200 Wabash Ave Springfield IL 62704-5352
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036115705 Illinois
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 036115705 Illinois

Profile Details

NPI number 1831131697
LBN Legal business name Conlon, Joseph D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831131697 NPPES
Illinois MEDICAID 036115705

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