Mcdonnell, Richard

Mcdonnell, Richard is an individual health care provider with primary practice located at Dept Of Internal Medicine 530 Ne Glen Oak, Peoria IL 61637-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mcdonnell, Richard can be contacted via phone (309) 655-3292.

Contact Information

Primary practice address
Dept Of Internal Medicine 530 Ne Glen Oak Peoria IL 61637-0001
Phone: (309) 655-3292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1124096482
LBN Legal business name Mcdonnell, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124096482 NPPES
Illinois Other IL0104 JOHN DEERE
Illinois Other 07215036 JOHN DEERE

Popular Providers