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Douglas Drake
NPI 1093051484 · on the registry since 2012
Practice
- Address
- 5910 E State St
Rockford, IL 61108 - Phone
- (815) 397-4327
- Fax
- (815) 397-4341
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois