Individual
DAVID DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 S HIGHLAND AVE, STE 220, LOMBARD, IL 60148-4932
(630) 873-8700
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036097993
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097993
—
IL
Enumeration date
02/22/2006
Last updated
08/04/2023
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