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Organization

BRUCE H DOBLIN, MD, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE H DOBLIN MD (PRESIDENT)
(847) 328-6440
Entity
Organization

Contact information

Practice address
2500 RIDGE AVE, SUITE # 210, EVANSTON, IL 60201-2455
(847) 328-6440
(847) 328-6473
Mailing address
2500 RIDGE AVE, SUITE # 210, EVANSTON, IL 60201-2455
(847) 328-6440
(847) 328-6473

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036074034
IL

Other

Enumeration date
09/25/2007
Last updated
06/30/2008
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