David B Sutherland, M.D.
Internal Medicine, Gastroenterology in Bourbonnais, IL. Individual provider (NPI-1).
NPI number1619976909
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1619976909
- Entity type
- Individual (NPI-1)
- Name
- David B Sutherland
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2005
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 036085917 | IL | Yes |
Practice location
1615 N Convent StBourbonnais, IL 60914-1092
Phone 815-937-5200 · Fax 815-937-2063
Mailing address
1615 N Convent StBourbonnais, IL 60914-1092
Phone 815-937-5200 · Fax 815-937-2063
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