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Individual
BRIAN DONOHUE
Active
Individual
BRIAN DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.125434
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
036.125434
IL
Other
Enumeration date
07/31/2008
Last updated
03/15/2021
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