Individual
DR. JASON CORDELL BIRNHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 OAKBROOK CTR, SUITE 408, OAK BROOK, IL 60523-1806
(630) 954-5577
(630) 954-2919
Mailing address
120 OAKBROOK CTR, SUITE 408, OAK BROOK, IL 60523-1806
(630) 954-5577
(630) 954-2919
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
36-065383
IL
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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