Individual
JOHN DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 AUDUBON WAY, LINCOLNSHIRE, IL 60069-3811
(847) 865-8811
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(864) 244-3626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012822
IL
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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