Individual
DOUG R MCKAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
15 FOUNDERS LN, JACKSONVILLE, IL 62650
(217) 243-0300
(217) 245-0675
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019610
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041408623
RN LICENSE
IL
01
—
9999
PRIVATE INSURANCE
IL
Enumeration date
07/11/2019
Last updated
11/25/2019
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