Dr. Dwight William O'dell
Gynecologist
4550 Memorial Dr Ste 200
Belleville
, Illinois 62226-5359
Dr. Dwight William O'dell
Gynecologist
4550 Memorial Dr Ste 200
Belleville
, Illinois 62226-5359
(618) 233-6001
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Dwight William O'dell
- 4550 Memorial Dr Ste 200
- Belleville, IL
- Zip : 62226-5359
- Fax : (618) 233-6001
- Phone : (618) 233-5998
Second Address
- Dr. Dwight William O'dell
- 4550 Memorial Dr Ste 200
- Belleville, IL
- Zip : 62226-5359
- Fax : (618) 233-6001
- Phone : (618) 233-5998
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | IL |
National Provider Identifier
| NPI | 1194770933 |
|---|---|
| Provider Name | Dr. Dwight William O'dell |
| First Address | Belleville, IL 62226-5359 |
| Second Address | Belleville, IL 62226-5359 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 18/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C46175 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.