Individual
DOUGLAS MCDONALD CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62704-5324
(217) 525-5643
(217) 544-2521
Mailing address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 791-3684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010588
IL
Other
Enumeration date
08/13/2013
Last updated
12/29/2021
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