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Individual

MICHAEL DORNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2100 GLENWOOD AVENUE, JOLIET, IL 60435
(815) 725-2121
(815) 741-6303
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36084745
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36084745
IL
Enumeration date
06/10/2006
Last updated
08/07/2023
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