SAMUEL DALTON CAPOUCH

SPRINGFIELD, IL
NPI1326501750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL  036164600)
Enumeration Date2019-04-11
Last Update Date2025-11-21
Business Address
SAMUEL DALTON CAPOUCH MD
301 N 8TH ST
SPRINGFIELD, IL 62701-1041
Phone number: 217-528-7541
Mailing Address
SAMUEL DALTON CAPOUCH MD
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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