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Individual

JONATHAN LINDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1204 HWY 164 EAST, OQUAWKA, IL 61469
(309) 867-2202
(309) 867-3205
Mailing address
PO BOX 198, OQUAWKA, IL 61469-0198
(309) 867-2202
(309) 867-3205

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036053670
IL

Other

Enumeration date
11/15/2007
Last updated
09/09/2011
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