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Individual

DINORA INGBERMAN

Active
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Individual

DINORA INGBERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

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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