Individual
DR. BRUCE H DOBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 RIDGE AVE, #210, EVANSTON, IL 60201-2455
(847) 328-6440
(847) 328-6473
Mailing address
2500 RIDGE AVE, #210, EVANSTON, IL 60201-2455
(847) 328-6440
(847) 328-6473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036074034
IL
207R00000X
Internal Medicine Physician
Primary
3366037583
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074034
—
IL
01
—
336-0377583
IL STATE LICENSE
IL
Enumeration date
05/25/2006
Last updated
03/25/2024
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