Individual
DAVID J DANSDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
Mailing address
BOX 78534, MILWAUKEE, IL 53278
(815) 398-9491
(815) 381-7498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-082064
IL
207RR0500X
Rheumatology Physician
Primary
036-082064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-082064
—
IL
Enumeration date
08/17/2006
Last updated
12/17/2021
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