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Search › Illinois › 101Y00000X

Evan Doughty

NPI 1134851819 · on the registry since 2022

Practice

Address
2311 S Illinois Ave
Carbondale, IL 62903
Phone
(855) 608-3560
Fax
(618) 549-3734
Organisation at this address
Centerstone Of Illinois Inc
Centerstone Of Illinois, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2022-06-30

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