Provider Demographics
NPI:1598938672
Name:DING, DAVID DAOBIN (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:DAOBIN
Last Name:DING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N WINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1295
Mailing Address - Country:US
Mailing Address - Phone:630-933-6091
Mailing Address - Fax:630-933-2995
Practice Address - Street 1:25 N WINFIELD RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1295
Practice Address - Country:US
Practice Address - Phone:630-933-6091
Practice Address - Fax:630-933-2995
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036118179207V00000X, 207VM0101X
MI4301091479207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI160C976180OtherBCBSM
IL206147243OtherMEDICARE PTAN (INDIVIDUAL)
IL036118179Medicaid
IL206147OtherMEDICARE PTAN (GROUP)
MI1598938672Medicaid
IL036118179Medicaid