MEDICARE: DR. DAVID L GINSBURG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036-053285	IL

General Provider Information

NPI Number	:	1306832803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L GINSBURG MD

Provider Business Mailing Address
First Line	:	2500 W HIGGINS RD
Second Line	:	SUITE 505
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-7220
Country	:	US
Telephone Number	:	847-843-0806
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 BARRINGTON ROAD
Second Line	:	SUITE 2300B
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1057
Country	:	US
Telephone Number	:	847-843-7030
Fax Number	:	847-843-7440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	08/15/2012

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