Individual
MR. CHAD D DOERNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
119 N 51ST ST, SUITE 101, OMAHA, NE 68132-2867
(102) 506-5695
(402) 596-6758
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3010
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47627
BLUE CROSS BLUE SHIELD
NE
01
—
P01003067
RAILROAD MEDICARE
NE
Enumeration date
05/10/2011
Last updated
06/25/2016
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