Individual
DANIEL P. CONGREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 WEST SOUTH STREET, KEWANEE, IL 61443
(309) 852-7700
(309) 852-7764
Mailing address
P.O. BOX 747, 1051 WEST SOUTH STREET, KEWANEE, IL 61443
(309) 852-7700
(309) 852-7764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-059091
IL
208600000X
Surgery Physician
21926
IA
Other
Enumeration date
06/16/2009
Last updated
06/22/2009
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