Individual
DR. COLLEEN PATRICIA DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 E CHICAGO AVE, SUITE 1050, CHICAGO, IL 60611-2637
(312) 944-6677
(312) 944-3346
Mailing address
211 E CHICAGO AVE, SUITE 1050, CHICAGO, IL 60611-2637
(312) 944-6677
(312) 944-3346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036127488
IL
207R00000X
Internal Medicine Physician
125054401
IL
Other
Enumeration date
07/03/2008
Last updated
08/04/2011
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