Individual
DR. OTHNIEL STEPHEN DOOLITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2250 N ILLINOIS AVE, CARBONDALE, IL 62901-5612
(618) 833-1691
Mailing address
2250 N ILLINOIS AVE, CARBONDALE, IL 62901-5612
(618) 833-1691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.058047
IL
207R00000X
Internal Medicine Physician
2013004979
MO
208M00000X
Hospitalist Physician
Primary
036133193
IL
Other
Enumeration date
06/14/2010
Last updated
12/10/2018
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