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DR. DEBORAH GUTHRIE CHISHOLM MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1144273434

Individual Registrant:
DR. DEBORAH GUTHRIE CHISHOLM MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
102 E CENTER ST  LE ROY, IL 61752-1900 US
Tel: 309-807-9692  Fax: 309-948-6160

Contact information for business:
102 E CENTER ST  LE ROY, IL 61752-1900 US
Tel: 309-807-9692  Fax: 309-948-6160

Registration Information:
NPI: 1144273434
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IL036.118448
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IA36549

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS IL - Page 1



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