David Dehaan, MD
Surgery in Lombard, IL. Individual provider (NPI-1).
NPI number1861467995
StatusActive
Last updated in NPPESAug 4, 2023
Details
- NPI
- 1861467995
- Entity type
- Individual (NPI-1)
- Name
- David Dehaan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2006
- Certification date
- Aug 4, 2023
- Last updated
- Aug 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 036097993 | IL | Yes |
Practice location
1801 S Highland AveSte 220
Lombard, IL 60148-4932
Phone 630-873-8700
Mailing address
Po Box 713260Chicago, IL 60677-1260
Phone 630-469-9200
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