NPI 1154454635

Benjamin Domb, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Des Plaines, IL

Practice location

Address: 999 E Touhy Ave STE 450, Des Plaines, IL 60018-2748
Phone: (630) 920-2323
Fax: (630) 323-5625

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 036119758 (IL)

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Registry record

NPI: 1154454635
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2007
Record last updated: 30 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.