Mcdonagh, Desmond B

Mcdonagh, Desmond B is an individual health care provider with primary practice located at 1790 Nations Dr Suite #207, Gurnee IL 60031-9164. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Mcdonagh, Desmond B can be contacted via phone (847) 205-9900.

Contact Information

Primary practice address
1790 Nations Dr Suite #207 Gurnee IL 60031-9164
Phone: (847) 205-9900
Fax: (847) 205-9905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036046231 Illinois
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 036-046231 Illinois

Profile Details

NPI number 1699734186
LBN Legal business name Mcdonagh, Desmond B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated May 20th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699734186 NPPES
Illinois Other 01622308 BXBS

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