Dr. Gregory Edward Doerfler
Oral and Maxillofacial Pathology
493 Duane St Suite 301
Glen Ellyn
, Illinois 60137-4501
Dr. Gregory Edward Doerfler
Oral and Maxillofacial Pathology
493 Duane St Suite 301
Glen Ellyn
, Illinois 60137-4501
(630) 858-5760
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Gregory Edward Doerfler
- 493 Duane St Suite 301
- Glen Ellyn, IL
- Zip : 60137-4501
- Fax : (630) 858-5760
- Phone : (630) 858-5755
Second Address
- Dr. Gregory Edward Doerfler
- 493 Duane St Suite 301
- Glen Ellyn, IL
- Zip : 60137-4501
- Fax : (630) 858-5760
- Phone : (630) 858-5755
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | IL |
National Provider Identifier
| NPI | 1225114085 |
|---|---|
| Provider Name | Dr. Gregory Edward Doerfler |
| First Address | Glen Ellyn, IL 60137-4501 |
| Second Address | Glen Ellyn, IL 60137-4501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.