Dutt, Jonathan Roderick

Dutt, Jonathan Roderick is an individual health care provider with primary practice located at 102 W Kenwood Ave , Decatur IL 62526-4368. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dutt, Jonathan Roderick can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
102 W Kenwood Ave Decatur IL 62526-4368
Phone: (217) 545-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.071354 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-151311 Illinois

Profile Details

NPI number 1497277263
LBN Legal business name Dutt, Jonathan Roderick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2017
Last updated May 4th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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