Individual
DOUGLAS J MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 N MAIN ST, MORTON, IL 61550-2024
(309) 266-8900
(309) 263-6788
Mailing address
110 N MAIN ST, MORTON, IL 61550-2024
(309) 266-8900
(309) 263-6788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09032033
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/31/2006
Last updated
07/08/2007
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