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MR. DWAYNE CARLTON DOBSCHUETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
675 N SAINT CLAIR ST, SUITE 18-200, CHICAGO, IL 60611-5975
(312) 695-1966
Mailing address
675 N SAINT CLAIR ST, SUITE 18-200, CHICAGO, IL 60611-5975
(312) 695-1966

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.015282
IL

Other

Enumeration date
02/07/2017
Last updated
02/07/2017
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