Individual
DR. DONALD RICHARD UNWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W LINCOLN ST, BELLEVILLE, IL 62220-2019
(618) 234-1774
(618) 234-7979
Mailing address
111 W LINCOLN ST, BELLEVILLE, IL 62220-2019
(618) 234-1774
(618) 234-7979
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036084822
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084822
—
IL
01
—
1376586685
NPI GROUP
IL
Enumeration date
06/19/2005
Last updated
04/13/2009
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