DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AMMAR Y DIVAN, MD

Active

DR. AMMAR Y DIVAN, MD is a Pain Medicine (Anesthesiology) healthcare provider located in BLOOMINGDALE, Illinois. NPI 1588977557 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · BLOOMINGDALE, IL

Registration Details

NPI Number
1588977557
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2010 (16.105320785097 yrs)
Last Updated
Jul 16, 2024
Licenses
036123274 (IL)
0101247908 (VA)
D71131 (MD)
068143 (GA)
036123274 (IL)

Practice Information

Address
245 S GARY AVE STE 100
BLOOMINGDALE, IL, 601082200
Browse IL providers · Browse ZIP 60108
Phone
6309334550
Fax
6309332200
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X
Additional Specialty
Anesthesiology
Additional Specialty
Anesthesiology
Additional Specialty
Anesthesiology

Other Pain Medicine (Anesthesiology) Providers in BLOOMINGDALE, IL

Name Credential NPI
DR. MEHUL P SEKHADIA D.O. 1194771741
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.