Organization
ATWOOD MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L ATWOOD M.D. (PRESIDENT)
(618) 395-1400
Entity
Organization
Contact information
Practice address
1400 N EAST ST, OLNEY, IL 62450-2426
(618) 395-1400
(618) 395-1405
Mailing address
1400 N EAST ST, OLNEY, IL 62450-2426
(618) 395-1400
(618) 395-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-110096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332782580
—
IL
Enumeration date
06/26/2007
Last updated
03/30/2023
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