Individual
MICHAEL DOMBROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201
(847) 570-2477
Mailing address
2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201
(847) 570-2477
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036152782
IL
2085R0204X
Vascular & Interventional Radiology Physician
125068415
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363366652
PRESENCE SAINT JOSEPH HOSPITAL CHICAGO
IL
Enumeration date
04/28/2016
Last updated
05/26/2022
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