Organization
PAUL M. BAUBLY, M.D. S. C.
Active
Other names
Center Street Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET HORNSTRA (OFFICE MANAGER)
(630) 595-9988
Entity
Organization
Contact information
Practice address
103 N HAVEN RD FL 2, ELMHURST, IL 60126-2973
(630) 595-9988
(331) 225-2296
Mailing address
103 N HAVEN RD FL 2, ELMHURST, IL 60126-2973
(630) 595-9988
(313) 225-2296
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036082085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082085
—
IL
Enumeration date
08/13/2007
Last updated
09/24/2018
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