Healthcare Provider Details

I. General information

NPI: 1821420209
Provider Name (Legal Business Name): DONALD ERNEST TEMPLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 01/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E DELAWARE PL
CHICAGO IL
60611-1481
US

IV. Provider business mailing address

110 E DELAWARE PL
CHICAGO IL
60611-1481
US

V. Phone/Fax

Practice location:
  • Phone: 312-664-1708
  • Fax:
Mailing address:
  • Phone: 312-664-1708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number036036036
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number036036036
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: