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Organization
MARSHALL INTERNAL MEDICINE, S.C.
Active
Organization
MARSHALL INTERNAL MEDICINE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J MARSHALL MD (PRESIDENT)
(309) 266-8900
Entity
Organization
Contact information
Practice address
110 N MAIN ST, MORTON, IL 61550-2024
(309) 266-8900
(309) 263-6788
Mailing address
110 N MAIN ST, MORTON, IL 61550-2024
(309) 266-8900
(309) 263-6788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036105264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105264
—
IL
Enumeration date
04/03/2007
Last updated
12/17/2009
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