DR. Jonathan Roderick Dutt, MD

NPI #1497277263 in Decatur, Illinois

Provider Information

NPI Number: 1497277263
Entity Type: Individual
Name: DR. Jonathan Roderick Dutt, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 12, 2017
Last Updated: May 4, 2020

Practice Location

Address: 102 W KENWOOD AVE
City: Decatur
State: Illinois
ZIP Code: 62526-4368
Phone: (217) 545-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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