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Individual

DRAKE GASHKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15 FOUNDERS LN STE 100, JACKSONVILLE, IL 62650-3924
(217) 243-0300
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 243-0300

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.156455
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036156455
MD LICENSE
IL
Enumeration date
05/02/2016
Last updated
04/04/2023
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