Individual
EGON MR DOPPENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 HIGHLAND AVE, DOWNERS GROVE, IL 60515-2100
(844) 376-3876
(630) 929-0633
Mailing address
3551 HIGHLAND AVE STE 200, DOWNERS GROVE, IL 60515-2160
(844) 376-3876
(630) 929-0633
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36113314
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36113314
—
IL
Enumeration date
10/10/2005
Last updated
01/26/2022
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