Individual
DAVID O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 W WALNUT ST, OGLESBY, IL 61348-1400
(815) 883-3588
(815) 883-3604
Mailing address
520 W WALNUT ST, OGLESBY, IL 61348-1400
(815) 883-3588
(815) 883-3604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.130299
IL
207Q00000X
Family Medicine Physician
OS008291L
PA
Other
Enumeration date
07/27/2006
Last updated
03/10/2017
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