Individual
DR. KENNETH GUILLOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 N 1ST ST STE D220, SPRINGFIELD, IL 62702-3757
(217) 545-3518
(217) 545-2711
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-9679
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125069953
IL
Other
Enumeration date
06/05/2017
Last updated
02/14/2020
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