Individual
DINORA INGBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9669 KENTON AVE, SUITE 405, SKOKIE, IL 60076-1266
(630) 789-2550
(847) 675-7595
Mailing address
9669 N. KENTON ST, 510, SKOKIE, IL 60076-1545
(847) 675-1064
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-083386
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622674
BCBS PROVIDER ID
IL
05
—
036083386
—
IL
01
—
260037069
RAIL ROAD MEDICARE
IL
01
—
P00198132
RAIL ROAD MEDICARE
IL
Enumeration date
09/15/2005
Last updated
07/17/2020
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