Individual
DR. DEBRA C DRENGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1107 S. DIVISION AVE., KSB CENTER FOR HEALTH SERVICES/POLO, POLO, IL 61064
(815) 946-3453
(815) 946-3908
Mailing address
1107 S DIVISION AVE, KSB CENTER FOR HEALTH SERVICES/POLO, POLO, IL 61064-1875
(815) 946-3453
(815) 946-3908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-101870
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101870
—
IL
01
—
L88519
MEDICARE
IL
Enumeration date
01/27/2006
Last updated
08/21/2018
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