Doppenberg, Egon Mr
Doppenberg, Egon Mr is an individual health care provider with primary practice located at 3551 Highland Ave , Downers Grove IL 60515-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Doppenberg, Egon Mr can be contacted via phone (844) 376-3876.Contact Information
Primary practice address
3551 Highland Ave
Downers Grove IL 60515-2100
Phone: (844) 376-3876
Fax: (630) 929-0633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 36113314 | Illinois |
Profile Details
| NPI number | 1083602551 |
|---|---|
| LBN Legal business name | Doppenberg, Egon Mr |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jan 26th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083602551 | NPPES |
| Illinois | MEDICAID | 36113314 |
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