Provider Demographics
NPI:1053425553
Name:FRENCH, DOUGLAS ALLAN (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:ALLAN
Last Name:FRENCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 ROUTE 47
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-8107
Mailing Address - Country:US
Mailing Address - Phone:630-466-6000
Mailing Address - Fax:630-466-6001
Practice Address - Street 1:472 ROUTE 47
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-8107
Practice Address - Country:US
Practice Address - Phone:630-466-6000
Practice Address - Fax:630-466-6001
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-093666207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine