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NPI Code Detail

MEDICARE: DR. TERRY L DONAT MD

MEDICARE: DR. TERRY L DONAT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) Physician036103262IL
2207YX0905XOtolaryngology/Facial Plastic Surgery Physician036103262IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891760385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERRY L DONAT MD
Provider Business Mailing Address
First Line : 101 E MILLER RD
Second Line :
City : STERLING
State : IL
Zip : 61081-1252
Country : US
Telephone Number : 815-625-4790
Fax Number : 630-324-7137
Provider Business Practice Location Address
First Line : 101 E MILLER RD
Second Line :
City : STERLING
State : IL
Zip : 61081-1252
Country : US
Telephone Number : 815-625-4790
Fax Number : 815-632-5845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 06/14/2012

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