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Organization
STRIEDINGER MEDICAL GROUP SC
Active
Organization
STRIEDINGER MEDICAL GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO M STRIEDINGER MD (INTERNAL MEDICINE)
(773) 878-4700
Entity
Organization
Contact information
Practice address
4733 N DAMEN AVE, CHICAGO, IL 60625-1442
(773) 878-4700
Mailing address
4733 N DAMEN, CHICAGO, IL 60625-1334
(773) 878-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036090741
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090741
—
IL
01
—
4932289
BCBS PROVIDER
IL
Enumeration date
11/06/2006
Last updated
04/09/2015
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