Organization
PETER J. MCDONNELL M.D. SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J MCDONNELL MD SC (OWNER)
(708) 923-6605
Entity
Organization
Contact information
Practice address
7530 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1196
(708) 923-6605
(708) 923-0705
Mailing address
PO BOX 369, NEW LENOX, IL 60451-0369
(815) 463-0098
(815) 462-4955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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