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Individual

DOIS CHARLES OGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
300 W OAK ST STE 200, CARBONDALE, IL 62901-1400
(618) 536-6621
(618) 453-1102
Mailing address
201 E MADISON ST STE 300, SPRINGFIELD, IL 62702-5131
(217) 545-8000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.156087
IL
207Q00000X
Family Medicine Physician
125.073378
IL

Other

Enumeration date
06/29/2018
Last updated
07/02/2021
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