Individual
BRIAN LEE ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N EAST ST, OLNEY, IL 62450-2426
(618) 395-1400
(618) 395-1405
Mailing address
1400 N EAST ST, OLNEY, IL 62450-2426
(618) 395-1400
(618) 395-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-110096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095145
HEALTHALLIANCE
IL
01
—
662903
HEALTHLINK
IL
Enumeration date
05/17/2006
Last updated
03/30/2023
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