DR. RONALD DEBRUIN M.D. NPI 1538258322

NPI Information

NPI: 1538258322
Provider Name: DR. RONALD DEBRUIN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1800 HOLLISTER DR
SUITE G-18
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 918-1462
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DR. Ronald Debruin, M.D. is a diagnostic radiology radiology in Libertyville, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Ronald Debruin, M.D. NPI is 1538258322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 HOLLISTER DR
SUITE G-18
LIBERTYVILLE, IL
ZIP 60048-263
Phone: (847) 918-1462
Fax: (847) 968-4311

The enumeration date for this NPI number is 10/12/2006 and was last updated on 9/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	036042120	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202926	OTHER	ILLINOIS	GROUP PTAN
2	212545005	MEDICARE PIN	ILLINOIS
3	4923631	OTHER	ILLINOIS	BCBS ID
4	C43368	MEDICARE UPIN
5	202926008	MEDICARE PIN	ILLINOIS
6	212545	OTHER	ILLINOIS	GROUP PTAN
7	036042120	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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