O'Donnell, Patrick Gilbert

O'Donnell, Patrick Gilbert is an sole proprietor health care provider with primary practice located at 1945 S Spring St , Springfield IL 62704-3943. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. O'Donnell, Patrick Gilbert can be contacted via phone (217) 492-2000.

Contact Information

Primary practice address
1945 S Spring St Springfield IL 62704-3943
Phone: (217) 492-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036108929 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036-108929 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-108929 Illinois

Profile Details

NPI number 1336137330
LBN Legal business name O'Donnell, Patrick Gilbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Jan 3rd, 2014 - about 11 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 1336137330 NPPES
Illinois MEDICAID 036108929

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