Bruce H Doblin, MD, SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036074034 Issued in IL

Legal business name

BRUCE H DOBLIN, MD, SC

Practice address

2500 Ridge Ave
Suite # 210
Evanston, IL 60201-2455

Phone

(847) 328-6440

Fax

(847) 328-6473

NPI assigned

Sep 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce H Doblin, MD

Title

President

Phone

(847) 328-6440

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1184811911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "address_2": "SUITE # 210",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012455",
            "telephone_number": "847-328-6440",
            "fax_number": "847-328-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "address_2": "SUITE # 210",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012455",
            "telephone_number": "847-328-6440",
            "fax_number": "847-328-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE H DOBLIN, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DOBLIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-328-6440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036074034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Brown, LMFT
• Julia S Brown, PH.D., LCPC
• Lillian Brown, LPN
• Temu Brown, M.D.
• Laura Ann Brownstone, LCSW
• Elizabeth Lee Brumfield, MD
• Nancy Shlaes Bruski, A.M., LCSW
• Sharon Bryant, LMFT
• Kaitlin Jensen Bryzinski, PA-C
• Estherbeth Buchbinder, OTR/L

• Internal Medicine Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.