Individual
DOREEN VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3825 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1552
(630) 873-8889
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036143643
IL
207RN0300X
Nephrology Physician
MD42488
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036143643
—
IL
Enumeration date
06/19/2012
Last updated
08/28/2023
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