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Contact Information

PATRICK G ODONNELL, MD
1945 S SPRING ST
SPRINGFIELD, IL62704-3943
 Phone: 217-492-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PATRICK G ODONNELL · (Male)

NPI # 1336137330
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2005
Last updated 01/03/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-108929
  • IL License # 036108929
  • IL Medicaid 036108929
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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