Individual
DR. DALE E. LIAUGMINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
199 S ADDISON RD, SUITE 108, WOOD DALE, IL 60191-1929
(630) 628-8450
(630) 860-5183
Mailing address
199 S ADDISON RD, SUITE 108, WOOD DALE, IL 60191-1929
(630) 628-8450
(630) 860-5183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036057817
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036057817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057817
—
IL
Enumeration date
10/26/2006
Last updated
06/27/2013
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