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Dr. Grettel C. Donahue, MD,MPH
Primary Care Clinic/Center in Addison, Illinois
NPI 1477605913

Grettel C. Donahue is a Primary Care Clinic/Center based in Addison, IL and is specialized in Primary Care. Grettel C. Donahue practices in Addison, IL and has the professional credentials of MD,MPH. The NPI Number for Grettel C. Donahue is 1477605913 and holds a License No. 036108129 (Illinois).

The current practice location address for Grettel C. Donahue is 1111 W Lake St, Addison, IL and can be reached out via phone at 630-628-1811 and via fax at 630-628-1501.

Location: 1111 W Lake St, Addison, IL, 60101-1101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477605913
Provider Name
Grettel C. Donahue
Credential
MD,MPH
Provider Entity Type
Individual
Gender
Female
Address
1111 W Lake St, Addison, IL, 60101-1101
Phone Number
630-628-1811
Fax Number
630-628-1501
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036108129 05 IL
institution
Provider Business Practice Location Address Details
Address
1111 W Lake St
City
Addison
State
Illinois
Zip
60101-1101
Phone Number
630-628-1811
Fax Number
630-628-1501
person
Provider Business Mailing Address Details
Address
1111 W Lake St
City
Addison
State
Illinois
Zip
60101-1101
Phone Number
630-628-1811
Fax Number
630-628-1501
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
036108129 (Illinois)
Definition
Definition to come...
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