Individual
DAVID P ONDRULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 FOX GLN, BARRINGTON, IL 60010-1860
(847) 381-8161
(847) 381-8167
Mailing address
802 FOX GLN, BARRINGTON, IL 60010-1860
(847) 381-8161
(847) 381-8167
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-082895
IL
208C00000X
Colon & Rectal Surgery Physician
036-082895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC BS
04929950
IL
Enumeration date
06/13/2006
Last updated
01/04/2022
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