Individual
JOANN DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 MADISON ST, SUITE 207, JOLIET, IL 60435-6549
(815) 740-1900
(815) 725-2413
Mailing address
301 MADISON ST, SUITE 275, JOLIET, IL 60435-6549
(815) 740-1900
(815) 725-2413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036090527
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090527
—
IL
01
—
396590
MEDICARE HCC
IL
Enumeration date
05/22/2006
Last updated
02/14/2014
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