Individual
DAVID C NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3030 FRANK SCOTT PARKWAY WEST, SUITE 1, BELLEVILLE, IL 62223-5014
(618) 257-2550
(618) 257-2569
Mailing address
3030 FRANK SCOTT PARKWAY WEST, SUITE 1, BELLEVILLE, IL 62223-5014
(618) 257-2550
(618) 257-2569
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
03090116
IL
208000000X
Pediatrics Physician
036090116
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036 090116
—
IL
01
—
056891
AMERICAN BOARD OF PEDIATR
—
Enumeration date
07/12/2006
Last updated
06/25/2024
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