Domb, Benjamin

Domb, Benjamin is an individual health care provider with primary practice located at 999 E Touhy Ave Ste 450 , Des Plaines IL 60018-2748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Domb, Benjamin can be contacted via phone (630) 920-2323.

Contact Information

Primary practice address
999 E Touhy Ave Ste 450 Des Plaines IL 60018-2748
Phone: (630) 920-2323
Fax: (630) 323-5625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036119758 Illinois

Profile Details

NPI number 1154454635
LBN Legal business name Domb, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Dec 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154454635 NPPES
Illinois MEDICAID 036119758

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