Ronald Dewald, MD
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Lake Forest, IL. Individual provider (NPI-1).
NPI number1194274530
StatusActive
Last updated in NPPESSep 27, 2016
Details
- NPI
- 1194274530
- Entity type
- Individual (NPI-1)
- Name
- Ronald Dewald
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2016
- Last updated
- Sep 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 036.036945 | IL | Yes |
| 207X00000X | Orthopaedic Surgery | 036.036945 | IL |
Practice location
1645 W Broadland LnLake Forest, IL 60045-4813
Phone 847-234-5841 · Fax 847-234-5919
Mailing address
1645 W Broadland LnLake Forest, IL 60045-4813
Phone 847-234-5841 · Fax 847-234-5919
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.