# DR. GREGORY L OSTROM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376782870
- **Gender:** Man
- **Credential:** M.D., PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-054784 | IL | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 036-054784 | IL | — |
| 2083A0100X | Aerospace Medicine Physician | 36-054784 | IL | — |

## Other

- **Enumeration date:** 02/07/2009
- **Last updated:** 02/07/2009