person
Dr. Jonathan T Locke, MD
Diagnostic Radiology Physician in Decatur, Illinois
NPI 1982650990

Jonathan T Locke is a Diagnostic Radiology Physician based in Decatur, IL and is specialized in Diagnostic Radiology. Jonathan T Locke practices in Decatur, IL and has the professional credentials of MD. The NPI Number for Jonathan T Locke is 1982650990 and holds a License No. 036085891 (Illinois).

The current practice location address for Jonathan T Locke is 2300 N Edward St, Decatur, IL and can be reached out via phone at 217-876-2300 and via fax at 217-876-6725.

Location: 2300 N Edward St, Decatur, IL, 62526-4163
person
Provider Profile Details
NPI Number
1982650990
Provider Name
Jonathan T Locke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2300 N Edward St, Decatur, IL, 62526-4163
Phone Number
217-876-2300
Fax Number
217-876-6725
Provider Enumeration Date
05/25/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036085891 05 IL
institution
Provider Business Practice Location Address Details
Address
2300 N Edward St
City
State
Zip
62526-4163
Phone Number
217-876-2300
Fax Number
217-876-6725
person
Provider Business Mailing Address Details
Address
2300 N Edward St
City
State
Zip
62526-4163
Phone Number
217-876-2300
Fax Number
217-876-6725
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
036085891 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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