Individual
COURTNEY DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5350
(630) 352-5349
Mailing address
700 COMMERCE DR STE 500, OAK BROOK, IL 60523-8736
(847) 698-0600
(847) 698-0601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.001814
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085.001814
STATE LICENSE
IL
Enumeration date
09/10/2007
Last updated
05/09/2019
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