Individual
DAVID RONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-2500
(847) 318-2558
Mailing address
1775 BALLARD ROAD, PARK RIDGE, IL 60068
(847) 318-2500
(847) 318-2558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036078858
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360788582
—
IL
01
—
06168781
BC/BS
IL
01
—
P00213724
MEDICARE RAILROAD
IL
Enumeration date
12/19/2005
Last updated
12/16/2021
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