Individual
DR. JOHN DOUGLAS SADOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 PARK PL, SWANSEA, IL 62226-2967
(618) 233-5722
(618) 233-7069
Mailing address
9 PARK PL, STE B, SWANSEA, IL 62226-2967
(618) 233-5722
(618) 233-7069
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036110178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011619579
BNDD
MO
01
—
036071034
SUBSTANCE CONTROL
IL
01
—
036110178
LICENSE
IL
05
—
036110178
—
IL
01
—
2003022258
LICENSE
MO
Enumeration date
06/23/2005
Last updated
03/07/2023
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