1558460477

Everything you always wanted to know about OTTNEY D MICHAEL D.O. but were afraid to ask.

OTTNEY D MICHAEL D.O.

You can also download the this 1558460477 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
OTTNEY D MICHAEL D.O.
Gender:
Male
Enumeration date:
2006-09-21
Last update date:
2018-01-18
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207P00000X Emergency Medicine IL 036102790 N
207Q00000X Family Medicine IL 036102790 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2174774748
Practice Location Address Telephone Number 2174774748
Mailing Address Fax Number 2174444966
Practice Location Address Fax Number 2174444966

Addresses

Type Address City State Postal Country
Mailing Address 707 N LOGAN AVE DANVILLE IL 61832 IL
Practice Location Address 707 N LOGAN AVE DANVILLE IL 61832 IL

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1831139930 LIN, WEN-HSIN
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