Organization
PETER MCDONNELL MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MCDONNELL MD (MD)
(708) 923-6444
Entity
Organization
Contact information
Practice address
7530 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1196
(708) 923-6444
(708) 923-0705
Mailing address
7530 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1196
(708) 923-6444
(708) 923-0705
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036079089
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114014693
NPI
—
Enumeration date
10/13/2014
Last updated
10/13/2014
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