Individual
DESMOND B MCDONAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1790 NATIONS DR, SUITE #207, GURNEE, IL 60031-9164
(847) 205-9900
(847) 205-9905
Mailing address
1901 BUTTERFIELD RD, STE 220, DOWNERS GROVE, IL 60515-7915
(630) 725-2768
(630) 725-2783
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036-046231
IL
2086S0129X
Vascular Surgery Physician
Primary
036046231
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622308
BXBS
IL
Enumeration date
03/22/2006
Last updated
05/20/2008
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