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Contact Information

DAVID A DEBOER, M.D., MBA
7447 W TALCOTT AVENUE
STE. 512
CHICAGO, IL60631
 Phone: 773-594-6460
 Fax: 773-594-6473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DAVID A DEBOER · (Male)

NPI Number 1346242559
Status Active
Credentials M.D., MBA
Entity Individual
Enumeration date 06/01/2005
Last updated 12/07/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036073979
Hospital affiliation(s)
  • NORTHWEST COMMUNITY HOSPITAL - (Acute Care)
    800 W CENTRAL ROAD
    ARLINGTON HEIGHTS, IL 60005
  • RESURRECTION MEDICAL CENTER - (Acute Care)
    7435 W TALCOTT AVENUE
    CHICAGO, IL 60631
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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