Individual
SCOTT J WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4409 MAINE ST, QUINCY, IL 62305-5849
(217) 223-0413
(309) 836-5001
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036100033
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100033
—
IL
Enumeration date
07/07/2005
Last updated
09/18/2024
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