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DR. DEBORAH GUTHRIE CHISHOLM MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1144273434
Individual Registrant:DR. DEBORAH GUTHRIE CHISHOLM MD
Gender: F
Not Sole Proprietor
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
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
Tel: 309-807-9692 Fax: 309-948-6160
Registration Information:
NPI: 1144273434
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | IL | 036.118448 |
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | IA | 36549 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
