Mcbride, Doreena M
Mcbride, Doreena M is an sole proprietor health care provider with primary practice located at 461 Brown Blvd , Bourbonnais IL 60914-2322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcbride, Doreena M can be contacted via phone (815) 933-5700.Contact Information
Primary practice address
461 Brown Blvd
Bourbonnais IL 60914-2322
Phone: (815) 933-5700
Fax: (815) 933-8011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036086437 | Illinois |
Profile Details
| NPI number | 1801830799 |
|---|---|
| LBN Legal business name | Mcbride, Doreena M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Apr 30th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801830799 | NPPES |
| Illinois | MEDICAID | 036086437 | |
| Illinois | Other | 4604555 |
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