Get started by filling out the online account application :

 Upload professional license   Fill out Practice Info   Provide financial info/consent signatures   Review and submit

Or, you can click here to print and complete the application offline and mail the completed application and a copy of your license showing its expiration date to:

Doctor's Data, Inc.
3755 Illinois Avenue
St. Charles, IL 60174-2420
USA

Doctor’s Data Account Application

Thank you for your interest in opening an account with Doctor’s Data. Please answer the following questions to streamline your application process. Please note: For security purposes, Doctor’s Data does not save your information. If you need to exit the application process before submission, your information will not be saved and you will need to start the application again. Please do not hesitate to Contact us.

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PLEASE NOTE: You may also update your information in your account portal, using your Account ID and password (using the Clinician Sign-In on the upper right hand side of page.) Then, click My Account under Orders and Results. If you need to update your license, your state or financial information, please continue below. If you do not know your Account ID or password, you may update your information below. A current image of your license is required to continue. Input Your Account ID: