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Organization
OAK SPRING MEDICAL GROUP INC
Active
Organization
OAK SPRING MEDICAL GROUP INC
Active
Other names
Jennifer C Bare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER C DEBRULER MD (OWNER)
(847) 968-2800
Entity
Organization
Contact information
Practice address
131 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2800
(847) 968-2800
(847) 968-2801
Mailing address
131 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2800
(847) 968-2800
(847) 968-2801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036105592
IL
Other
Enumeration date
07/14/2006
Last updated
10/09/2009
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