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Individual

OMER MOSHE DORON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036169612
IL
207T00000X
Neurological Surgery Physician
309061
NY

Other

Enumeration date
07/20/2021
Last updated
08/15/2024
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