Doctor Name: | DR. PETER JOSEPH MCDONNELL |
NPI Number: | 1114014693 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME110227 |
Business Practice Address: | 12255 S 80th Ave Suite 203 Palos Heights, IL - 604631270 |
Business Phone Number: | 7089237870 |
Business Fax Number: | 7082262423 |
Mailing Address: | 15300 West Ave, Suite 22 S. ORLAND PARK |
State: | IL |
Postal Code: | 604624600 |
Phone Number: | 7082262623 |
Fax Number: | 7082262423 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | ME110227 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |