Individual
DR. BENJAMIN DOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 E TOUHY AVE STE 450, DES PLAINES, IL 60018-2748
(630) 920-2323
(630) 323-5625
Mailing address
999 E TOUHY AVE, STE 450, DES PLAINES, IL 60018-2748
(630) 920-2323
(630) 323-5625
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036119758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119758
—
IL
Enumeration date
03/13/2007
Last updated
12/30/2021
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