Egon Mr Doppenberg
Neurosurgeon
3551 Highland Ave
Downers Grove
, Illinois 60515-2100
Egon Mr Doppenberg
Neurosurgeon
3551 Highland Ave
Downers Grove
, Illinois 60515-2100
(630) 929-0633
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Egon Mr Doppenberg
- 3551 Highland Ave Ste 200
- Downers Grove, IL
- Zip : 60515-2160
- Fax : (630) 929-0633
- Phone : (844) 376-3876
Second Address
- Egon Mr Doppenberg
- 3551 Highland Ave
- Downers Grove, IL
- Zip : 60515-2100
- Fax : (630) 929-0633
- Phone : (844) 376-3876
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 36113314 | IL |
National Provider Identifier
| NPI | 1083602551 |
|---|---|
| Provider Name | Egon Mr Doppenberg |
| First Address | Downers Grove, IL 60515-2160 |
| Second Address | Downers Grove, IL 60515-2100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2005 |
| Last Update Date | 26/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36113314 | (05) | IL |
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.