Benjamin Domb in Des Plaines - Sports Medicine
Benjamin Domb - NPI 1154454635
Benjamin Domb is a Sports Medicine in Des Plaines, Illinois. Benjamin Domb practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Benjamin Domb is 1154454635. The last update date is 2021-12-30.
Benjamin Domb's current location address is 999 E Touhy Ave, Des Plaines, Illinois. You can contact this provider via phone number 6309202323 and fax number 6303235625. The mailing address for Benjamin Domb is 999 E Touhy Ave, Des Plaines, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Domb |
|---|---|
| Address | 999 E Touhy Ave, Des Plaines, Illinois |
| Phone Number | 6309202323 |
| Fax Number | 6303235625 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154454635 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 999 E Touhy Ave |
|---|---|
| City | Des Plaines |
| State | Illinois (IL) |
| Post Code | 600182748 |
| Phone Number | 6309202323 |
| Fax Number | 6303235625 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 36119758 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36119758 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Benjamin Domb?
The Benjamin Domb has been issued the NPI (National Provider Identifier) 1154454635 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Benjamin Domb is physically located?
The Benjamin Domb is physically situated at the following address: 999 E Touhy Ave, Des Plaines, IL, 600182748.
What is Benjamin Domb's specialized field of practice, and what is the corresponding taxonomy classification code?
The Benjamin Domb's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0005X.
On what date did the Benjamin Domb receive its 1154454635 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin Domb was assigned its 1154454635 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the information regarding Benjamin Domb, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Benjamin Domb, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-30.