DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DONALD R FORD, MD

Active

DONALD R FORD, MD is a Family Medicine healthcare provider located in GENESEO, Illinois. NPI 1053398933 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GENESEO, IL

Registration Details

NPI Number
1053398933
Provider Type
Individual
Gender
Male
NPI Issued
Dec 30, 2005 (20.638177920002 yrs)
Last Updated
Feb 5, 2015
Licenses
25736 (IA)
036047661 (IL)

Practice Information

Address
600 N COLLEGE AVE
SUITE 120
GENESEO, IL, 612541091
Browse IL providers · Browse ZIP 61254
Phone
3099445342
Fax
3099448192
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in GENESEO, IL

Name Credential NPI
SHARI L BECKER MD 1891771945
ELYSE WOLF APN 1629738661
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.