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Individual

DAVID R. DONNERSBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 WINNETKA AVE, WINNETKA, IL 60093-4023
(847) 441-6888
(847) 441-6891
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036111556
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212262
MEDICARE GROUP
IL
Enumeration date
08/31/2006
Last updated
09/14/2007
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