Individual
DOUGLAS G DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SYCAMORE RD, SUITE 1000, YORKVILLE, IL 60560-1906
(630) 553-4470
Mailing address
28594 NETWORK PL, CHICAGO, IL 60673-1285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-110961
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110961
—
IL
01
—
36110961
LICENSE
IL
Enumeration date
07/14/2006
Last updated
06/17/2025
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