Individual
ANNMARIE S MCDONAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 W LINCOLN AVE STE 200, CHARLESTON, IL 61920-2468
(217) 238-4866
(217) 258-4053
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-146788
IL
2084P0800X
Psychiatry Physician
8406
NH
Other
Enumeration date
11/28/2006
Last updated
09/12/2024
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