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NPI Code Detail

MEDICARE: DOKUBO LTD

MEDICARE: DOKUBO LTD
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
1207Q00000XFamily Medicine PhysicianIL
2207T00000XNeurological Surgery PhysicianIL

General Provider Information

NPI Number : 1598718009
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOKUBO LTD
Provider Business Mailing Address
First Line : 3435 W VAN BUREN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60624-3312
Country : US
Telephone Number : 773-265-0200
Fax Number :
Provider Business Practice Location Address
First Line : 3435 W VAN BUREN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60624-3312
Country : US
Telephone Number : 773-265-0200
Fax Number :
Authorized Official
Title or Position : CEO
Name : IGONI I DOKUBO
Credential : MD
Telephone Number : 773-265-0200
Provider Enumeration Date : 05/18/2006
Last Update Date : 09/11/2025

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Directions to “DOKUBO LTD ” Practice Location

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