Dr. Benjamin Domb, M.D.
Orthopaedic Surgery, Sports Medicine in Des Plaines, IL. Individual provider (NPI-1).
NPI number1154454635
StatusActive
Last updated in NPPESDec 30, 2021
Details
- NPI
- 1154454635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Domb
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2007
- Certification date
- Dec 30, 2021
- Last updated
- Dec 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 036119758 | IL | Yes |
Practice location
999 E Touhy Ave Ste 450Des Plaines, IL 60018-2748
Phone 630-920-2323 · Fax 630-323-5625
Mailing address
999 E Touhy AveSte 450
Des Plaines, IL 60018-2748
Phone 630-920-2323 · Fax 630-323-5625
Other practice locations
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