Individual
MERRICK DONENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 E NORRIS DR STE 2C, OTTAWA, IL 61350-1611
(815) 434-0276
(815) 434-0319
Mailing address
1050 E. NORRIS DR., SUITE 2C, OTTWAW, IL 61350
(815) 434-0276
(815) 434-0319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036135131
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036135131
IL
Other
Enumeration date
06/21/2011
Last updated
07/17/2025
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