Individual
MARY I DOBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-075221
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075221
—
IL
Enumeration date
05/27/2006
Last updated
09/30/2024
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