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Organization
STREAMWOOD FAMILY MEDICAL CENTER, PC
Active
Organization
STREAMWOOD FAMILY MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JAMES BRONGIEL M.D. (ADMINISTRATOR)
(630) 830-1900
Entity
Organization
Contact information
Practice address
403 W IRVING PARK RD, STREAMWOOD, IL 60107-2851
(630) 830-1900
(630) 830-1904
Mailing address
403 W IRVING PARK RD, STREAMWOOD, IL 60107-2851
(630) 830-1900
(630) 830-1904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615242
BLUECROSS BLUESHIELD
IL
Enumeration date
04/09/2007
Last updated
07/12/2007
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