Dr. David A Deboer, M.D., MBA
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Chicago, IL. Individual provider (NPI-1).
NPI number1346242559
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1346242559
- Entity type
- Individual (NPI-1)
- Name
- Dr. David A Deboer
- Credential
- M.D., MBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2005
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036073979 | IL | Yes |
Practice location
7447 W Talcott AvenueSte. 512
Chicago, IL 60631
Phone 773-594-6460 · Fax 773-594-6473
Mailing address
7447 W Talcott AvenueSte. 512
Chicago, IL 60631
Phone 773-594-6460 · Fax 773-594-6473
Other practice locations
1205 S Main St Ste 101
Crown Point, IN 46307-3677
Crown Point, IN 46307-3677
Phone 219-662-0077
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