Individual
JOSEPH D. CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62711-8358
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036115705
IL
207NP0225X
Pediatric Dermatology Physician
Primary
036115705
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115705
—
IL
Enumeration date
06/12/2006
Last updated
10/07/2024
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