Individual
DR. DANIEL S DOOLITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 241-8798
(618) 244-6010
Mailing address
2250 N ILLINOIS AVE, CARBONDALE, IL 62901-5612
(618) 833-1691
(855) 968-6372
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-091188
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091188
—
IL
01
—
046800
HEALTH ALLIANCE
—
Enumeration date
05/11/2006
Last updated
08/22/2023
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