Individual
DOREENA M MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
461 BROWN BLVD, BOURBONNAIS, IL 60914-2322
(815) 933-5700
(815) 933-8011
Mailing address
461 BROWN BLVD, BOURBONNAIS, IL 60914-2322
(815) 933-5700
(815) 933-8011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036086437
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086437
—
IL
01
—
4604555
BCBS
IL
Enumeration date
06/15/2006
Last updated
04/30/2015
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