Provider Demographics
NPI:1235492075
Name:SANDERS, DONALD ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ROBERT
Last Name:SANDERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:386 N YORK ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2363
Mailing Address - Country:US
Mailing Address - Phone:630-530-9700
Mailing Address - Fax:630-530-1636
Practice Address - Street 1:386 N YORK ST
Practice Address - Street 2:SUITE 209
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2363
Practice Address - Country:US
Practice Address - Phone:630-530-9700
Practice Address - Fax:630-530-1636
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
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Provider Licenses
StateLicense IDTaxonomies
IL036050144207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology