Individual
MR. DONALD T. DEARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 WOODLAWN RD, LINCOLN, IL 62656-9770
(217) 735-3573
Mailing address
1201 WOODLAWN RD, LINCOLN, IL 62656-9770
(217) 735-3573
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0873
DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
04/01/2019
Last updated
04/01/2019
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