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Individual
MR. PAUL BRIAN JUERGENS
Active
Individual
MR. PAUL BRIAN JUERGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
036067084
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010022254
BLUE CROSS BLUE SHIELD
IL
05
—
036067084
—
IL
01
—
CH1495
RAILROAD MEDICARE
IL
Enumeration date
07/18/2006
Last updated
01/19/2016
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