Individual
DR. AMY K MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
810 W ANTHONY DR, URBANA, IL 61802-7431
(217) 326-2255
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125053644
IL
Other
Enumeration date
03/14/2008
Last updated
05/07/2014
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