Individual
BRUCE I DODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N WALL ST STE 300, KANKAKEE, IL 60901-2942
(815) 935-0750
(815) 935-8797
Mailing address
500 N WALL ST STE 300, KANKAKEE, IL 60901-2942
(815) 935-0750
(815) 935-8797
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036060250
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060250
—
IL
Enumeration date
02/13/2007
Last updated
03/22/2021
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