Individual
MS. JIMI MICHELLE DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3001A SIXTH STREET, NAVAL HOSPITAL GREAT LAKES, GREAT LAKES, IL 60088
(847) 688-6755
Mailing address
378 W HONEY CT, ROUND LAKE, IL 60073-4232
(847) 224-0398
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209005148
IL
Other
Enumeration date
03/23/2006
Last updated
10/17/2011
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