Individual
MR. DONALD K BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1390 HOPE DR, SUITE B, CARBONDALE, IL 62901-5306
(877) 456-2496
(618) 997-5285
Mailing address
3408 OFFICE PARK DR, MARION, IL 62959-6477
(877) 456-2496
(618) 997-5285
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036087118
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087118
—
IL
05
—
370966854017
—
IL
01
—
CF3444
MEDICARE RR
IL
Enumeration date
02/20/2006
Last updated
01/14/2015
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