Individual
DR. DAVID F DIDOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DO
Contact information
Practice address
1000 HEALTH CENTER DR STE 305, MATTOON, IL 61938-9261
(217) 258-4186
(217) 348-4185
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036088344
IL
Other
Enumeration date
08/02/2006
Last updated
12/15/2023
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